PORT MEDICAL WELLNESS, INC.
NPI 1104077569
Orthopaedic Surgery in Wilmington, CA
NPI Status: Active since October 03, 2008
Contact Information
512 N AVALON BLVD
WILMINGTON, CA
ZIP 90744
Phone: (310) 816-2943
Fax: (310) 816-9393
- Organization
- Orthopaedic Surgery
About PORT MEDICAL WELLNESS, INC.
This page provides the complete NPI Profile along with additional information for Port Medical Wellness, Inc., a provider established in Wilmington, California operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1104077569 assigned on October 2008. The practitioner's primary taxonomy code is 207X00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Port Medical Wellness, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Laurent Ruben Benhamou D.o. (Partner)
- NPI
- 1104077569
- Provider Name
- PORT MEDICAL WELLNESS, INC.
- Entity Type
- Organization
- Location Address
- 512 N AVALON BLVD WILMINGTON, CA 90744
- Location Phone
- (310) 816-2943
- Location Fax
- (310) 816-9393
- Mailing Address
- PO BOX 128 C/O STELLA REDENSKI PACIFIC PALISADES, CA 90272
- Mailing Phone
- (310) 522-5811
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-03-2008
- Last Update Date
- 10-14-2008
- Code Navigator
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
Orthopaedic Surgery
- Taxonomy Code
- 207X00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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) |
|---|---|---|---|---|
| 1 | 111N00000X | Chiropractic Providers | Chiropractor | |
| 2 | 171100000X | Other Service Providers | Acupuncturist | |
| 3 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice |
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.
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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 | 7 | 7 | 5 | 6 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 7 | 14 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 7 + 1 + 4 + 5 + 1 + 2 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1104077569 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1003061979 | WILLIAM GEOFFREY GULICK D.C. Individual | Chiropractor | 512 N AVALON BLVD WILMINGTON, CA 90744 (310) 522-5811 |
| 1134374010 | LAURENT RUBEN BENHAMOU D.C. Individual | Chiropractor | 512 N AVALON BLVD WILMINGTON, CA 90744 (310) 522-5811 |
| 1912279548 | NAIM CHIROPRACTIC AND SPORTS MEDICINE GROUP INC Organization | Chiropractor | 512 N AVALON BLVD WILMINGTON, CA 90744 (310) 322-8777 |
| 1548672066 | DEL TORTO CHIROPRACTIC INC Organization | Chiropractor | 512 N AVALON BLVD WILMINGTON, CA 90744 (310) 518-8777 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104077569, enumerated in the NPI registry as an "organization" on October 03, 2008
The provider is located at 512 N Avalon Blvd Wilmington, Ca 90744 and the phone number is (310) 816-2943
This medical organization specializes in Orthopaedic Surgery with taxonomy code 207X00000X
This NPI record was last updated on October 03, 2008. 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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