OPTIMUM MEDICAL CLINICS, INC
NPI 1043520885
Non-Pharmacy Dispensing Site in Newport Beach, CA

NPI Status: Active since October 14, 2010

Contact Information

20072 SW BIRCH ST
SUITE 100
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 757-1150

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  • Organization
  • Non-Pharmacy Dispensing Site

About OPTIMUM MEDICAL CLINICS, INC

This page provides the complete NPI Profile along with additional information for Optimum Medical Clinics, Inc, a provider established in Newport Beach, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1043520885 assigned on October 2010. The practitioner's primary taxonomy code is 332900000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Samuel K. Park M.d. (Medical Director)

NPI
1043520885
Provider Name
OPTIMUM MEDICAL CLINICS, INC
Entity Type
Organization
Location Address
20072 SW BIRCH ST SUITE 100 NEWPORT BEACH, CA 92660
Location Phone
(949) 757-1150
Mailing Address
2980 N BEVERLY GLEN CIR SUITE 301 LOS ANGELES, CA 90077
Mailing Phone
(310) 474-9809
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
10-14-2010
Last Update Date
03-01-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SAMUEL K. PARK M.D.

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(949) 757-1150

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1043520885
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20831020816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 8 + 3 + 1 + 0 + 2 + 0 + 8 + 1 + 6 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1043520885 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1043258502DR. VALERIE VALENTINE ACEVEDO D.O.
Individual
Psychiatry & Neurology (Neurology)20072 SW BIRCH ST SUITE 170
NEWPORT BEACH, CA 92660
(949) 752-2400
1336171446DR. MARK T KAN M.D.
Individual
Specialist20072 SW BIRCH ST SUITE 230
NEWPORT BEACH, CA 92660
(949) 222-1290
1316962418DR. RIC M CAMARILLO PH.D.
Individual
Psychologist20072 SW BIRCH ST SUITE 220
NEWPORT BEACH, CA 92660
(949) 851-3003
1013047612DR. JOSEPH DICAPRIO D.D.S.
Individual
Dentist (General Practice)20072 SW BIRCH ST STE. 150
NEWPORT BEACH, CA 92660
(949) 752-2012
1538375944DR. DUNCAN S. WIGG PHD
Individual
Psychologist20072 SW BIRCH ST
NEWPORT BEACH, CA 92660
(949) 981-4338
1134365208DR. ALEX ACEVEDO JR. CHIRPRACTOR
Individual
Chiropractor20072 SW BIRCH ST SUITE 170
NEWPORT BEACH, CA 92660
(949) 752-2400
1053626630RAAFAT W. GIRGIS, M.D., INC.
Organization
Psychiatry & Neurology (Psychiatry)20072 SW BIRCH ST SUITE # 240
NEWPORT BEACH, CA 92660
(714) 316-1163
1861796195MAHER M SALEEB, M.D., INC
Organization
Clinic/Center (Adult Mental Health)20072 SW BIRCH ST STE # 240
NEWPORT BEACH, CA 92660
(949) 955-1088
1538455860MARK T KAN, INC
Organization
Obstetrics & Gynecology (Reproductive Endocrinology)20072 SW BIRCH ST SUITE 230
NEWPORT BEACH, CA 92660
(949) 222-1290
1518237882MDM MEDICAL MGMT.
Organization
Case Manager/Care Coordinator20072 SW BIRCH ST SUITE 200-B
NEWPORT BEACH, CA 92660
(888) 553-9275
1417346412SHAHEM KAWJI, MD, INC
Organization
Ophthalmology20072 SW BIRCH ST SUITE 260
NEWPORT BEACH, CA 92660
(714) 423-2568
1699137737HEALTH BRIDGE NEWPORT
Organization
Psychoanalyst20072 SW BIRCH ST SUITE 240
NEWPORT BEACH, CA 92660
(949) 715-9321
1396108130 GINA NICK CUSHMAN NMD
Individual
Internal Medicine20072 SW BIRCH ST 240
NEWPORT BEACH, CA 92660
(949) 715-9321
1851303671DR. BETTINA TAYENGCO LIMJOCO M.D.
Individual
Rehabilitation Practitioner20072 SW BIRCH ST SUITE 170
NEWPORT BEACH, CA 92660
(949) 891-0945
1760922413BETTINA LIMJOCO MDPC
Organization
Clinic/Center20072 SW BIRCH ST SUITE 170
NEWPORT BEACH, CA 92660
(949) 891-0945
1649354366OPTIMUM MEDICAL CLINICS INC
Organization
Family Medicine20072 SW BIRCH ST STE 100
NEWPORT BEACH, CA 92660
(949) 757-1150
1861579740NEWPORT HEALTH LABORATORIES, INC
Organization
Clinical Medical Laboratory20072 SW BIRCH ST SUITE 250
NEWPORT BEACH, CA 92660
(949) 222-1290
1881393114 JULIE NGUYEN FNP-C
Individual
Nurse Practitioner (Family)20072 SW BIRCH ST
NEWPORT BEACH, CA 92660
(949) 514-8602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043520885, enumerated in the NPI registry as an "organization" on October 14, 2010

The provider is located at 20072 Sw Birch St Suite 100 Newport Beach, Ca 92660 and the phone number is (949) 757-1150

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

This NPI record was last updated on October 14, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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