WILSHIRE DISTRICT MEDICAL GROUP
NPI 1104010248
Clinic/Center in Monterey Park, CA
NPI Status: Active since August 31, 2007
Contact Information
925 S ATLANTIC BLVD STE 106
MONTEREY PARK, CA
ZIP 91754
Phone: (213) 458-3132
Fax: (213) 234-4542
- Organization
- Clinic/Center
About WILSHIRE DISTRICT MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Wilshire District Medical Group, a provider established in Monterey Park, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1104010248 assigned on August 2007. The practitioner's primary taxonomy code is 261Q00000X with license number A69991 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Dr. Simon Jiang M.d. (President)
- NPI
- 1104010248
- Provider Name
- WILSHIRE DISTRICT MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 925 S ATLANTIC BLVD STE 106 MONTEREY PARK, CA 91754
- Location Phone
- (213) 458-3132
- Location Fax
- (213) 234-4542
- Mailing Address
- 13521 TELEGRAPH RD STE B WHITTIER, CA 90605
- Mailing Phone
- (562) 946-7571
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-31-2007
- Last Update Date
- 05-29-2018
- Code Navigator
Location Map
Secondary Locations
- 13521 Telegraph Rd Ste B
Whittier, CA 90605
(562) 946-7571
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- A69991
- License State
- CA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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.
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 |
|---|---|---|---|
| 00A699911 | MEDICAID (05) | CA |
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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. | |||||||||
| 1 | 1 | 0 | 4 | 0 | 1 | 0 | 2 | 4 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 1 | 0 | 2 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 1 + 0 + 2 + 8 + 24 = 42 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 42 = 8 | 8 | ||||||||
The NPI number 1104010248 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780638528 | SIMON JIANG M.D Individual | General Practice | 925 S ATLANTIC BLVD STE 106 MONTEREY PARK, CA 91754 (213) 458-3132 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104010248, enumerated in the NPI registry as an "organization" on August 31, 2007
The provider is located at 925 S Atlantic Blvd Ste 106 Monterey Park, Ca 91754 and the phone number is (213) 458-3132
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
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 August 31, 2007. 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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