MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA
NPI 1073885786
Family Medicine in Everett, WA

NPI Status: Active since January 27, 2012

Contact Information

3322 BROADWAY
SUITE 200
EVERETT, WA
ZIP 98201
Phone: (425) 249-4922
Fax: (877) 860-2284

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  • Organization
  • Family Medicine

About MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA

This page provides the complete NPI Profile along with additional information for Molina Medical Group Of Southern California, a primary care provider established in Everett, Washington operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1073885786 assigned on January 2012. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Molina Medical Group Of Southern California operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Molina Medical Group Of Southern California. The authorized official of this NPI record is Gloria Calderon (Vice President, Clinic Operations)

NPI
1073885786
Provider Legal Name
JOSEPH M MOLINA MD PROFESSIONAL CORPORATION-SOUTHERN CALIFORNIA
Other Organization Name
MOLINA MEDICAL GROUP OF SOUTHERN CALIFORNIA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3322 BROADWAY SUITE 200 EVERETT, WA 98201
Location Phone
(425) 249-4922
Location Fax
(877) 860-2284
Mailing Address
200 OCEANGATE SUITE 100 LONG BEACH, CA 90802
Mailing Phone
(562) 499-6191
Mailing Fax
(877) 860-2284
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-27-2012
Last Update Date
03-28-2014
Code Navigator

A primary care provider (PCP) like Molina Medical Group Of Southern California sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License State
WA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

GLORIA CALDERON

Authorized Official Title
VICE PRESIDENT, CLINIC OPERATIONS
Authorized Official Phone
(562) 491-7053

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G8910710MEDICARE PIN (08)WA 

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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.
1073885786
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2014316810716
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 4 + 3 + 1 + 6 + 8 + 1 + 0 + 7 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1073885786 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1689616393MS. CATHERINE MARIE NAIAD MA
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6868
1740222173 JAMES YORLANG
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6800
1952343436MS. JOANNE E. SPRUNGER M.N., A.R.N.P
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6800
1477595650MS. PATRICIA MARY HINES MENTAL HEALTH PROFES
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-8195
1508800632MR. STEPHEN THOMAS METCALF LMHC,NCC
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6804
1629012687 SARA BENDER
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6800
1942245980 MICHAEL RICHARD GSTOHL M.A.
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6819
1801832027MS. BARBARA LYNN MCFADDEN ARNP
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6838
1740217843MS. JULIANN LOWERY LMHC
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6856
1447287453MR. BRIAN KEITH CLARK LCSW
Individual
Social Worker (Clinical)3322 BROADWAY
EVERETT, WA 98201
(425) 349-7447
1538190285MRS. BEVERLEY A. CHASE MA, LMHC
Individual
Counselor (Mental Health)3322 BROADWAY FL 4, MS 53
EVERETT, WA 98201
(425) 349-7213
1295848588MS. SALLY JO MILLIS MSW CSW LICSW GMHS
Individual
Social Worker (Clinical)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6154
1053425165 LORI YOUNGQUIST LMHC, MHP
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-7447
1295842797MS. SHARON SUE WOLFE M.S.W.
Individual
Social Worker (Clinical)3322 BROADWAY SUITE C
EVERETT, WA 98201
(425) 349-7479
1679680888 KATHRYN RUTH TILLEMA M.S.
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6143
1447367115MR. BOONLERT SUREEPISARN MHP
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-8188
1942318597 LADY ABIGAIL RESTAURO-VIZMANOS B.S.
Individual
Counselor (Mental Health)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6828
1790892560MRS. NATALY I. NEMIROVSKY MHP
Individual
Counselor3322 BROADWAY 4TH FLOOR
EVERETT, WA 98201
(425) 349-8142
1790892495MR. VATHARA OUNG REGISTERED COUNSELOR
Individual
Counselor3322 BROADWAY 4TH FLOOR
EVERETT, WA 98201
(425) 349-7210
1427166081MS. TRACEY CHERYL BOSHOFF BA, MA, MHP
Individual
Social Worker (Clinical)3322 BROADWAY
EVERETT, WA 98201
(425) 349-6877

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073885786, enumerated in the NPI registry as an "organization" on January 27, 2012

The provider is located at 3322 Broadway Suite 200 Everett, Wa 98201 and the phone number is (425) 249-4922

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 27, 2012. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.