JUSTIN FORTUNE CREEDEN
NPI 1124878863
Student in an Organized Health Care Education/Training Program in San Diego, CA

NPI Status: Active since March 25, 2024

Contact Information

200 W. ARBOR DRIVE
MC# 8218
SAN DIEGO, CA
ZIP 92103
Phone: (619) 471-0283

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...

About JUSTIN CREEDEN

This page provides the complete NPI Profile along with additional information for Justin Creeden, a primary care provider established in San Diego, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1124878863 assigned on March 2024. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1124878863
Provider Name
JUSTIN FORTUNE CREEDEN
Gender
Male
Entity Type
Individual
Location Address
200 W. ARBOR DRIVE MC# 8218 SAN DIEGO, CA 92103
Location Phone
(619) 471-0283
Mailing Address
200 W. ARBOR DRIVE MC# 8218 SAN DIEGO, CA 92103
Is Sole Proprietor?
Yes
Enumeration Date
03-25-2024
Last Update Date
03-26-2024
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A primary care provider (PCP) like Justin Creeden 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 .

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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

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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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.
1124878863
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
214416716812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 4 + 4 + 1 + 6 + 7 + 1 + 6 + 8 + 1 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1124878863 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1124055348DR. LISA M STELLWAGEN M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)200 W. ARBOR DRIVE MC 8201
SAN DIEGO, CA 92103
(619) 543-6365
1205972148DR. ROBERT K HEATON PHD
Individual
Psychologist (Clinical)200 W. ARBOR DRIVE
SAN DIEGO, CA 92103
(858) 834-4044
1558503359 MITCHELL THOR GUDMUNDSSON M.D.
Individual
Radiology (Vascular & Interventional Radiology)200 W. ARBOR DRIVE
SAN DIEGO, CA 92103
(619) 944-2347
1164712576DR. SCOTT AARON ATKINS M.D.
Individual
Radiology (Neuroradiology)200 W. ARBOR DRIVE MC 0834
SAN DIEGO, CA 92103
(619) 543-6222
1659869956 ALEXIS TRACY
Individual
Student in an Organized Health Care Education/Training Program200 W. ARBOR DRIVE
SAN DIEGO, CA 92103
(318) 366-8795
1942825625 LINDA THANH DAO PHARMD
Individual
Pharmacist200 W. ARBOR DRIVE
SAN DIEGO, CA 92103
(000) 000-0000
1184364119 NICHOLAS SIMON
Individual
Student in an Organized Health Care Education/Training Program200 W. ARBOR DRIVE MC8676
SAN DIEGO, CA 92103
(619) 543-6213
1467036137DR. BRYAN BALVANEDA PHD
Individual
Psychologist (Clinical)200 W. ARBOR DRIVE MC# 0304
SAN DIEGO, CA 92103
(858) 534-2628
1083464713 MARIBEL PATINO
Individual
Student in an Organized Health Care Education/Training Program200 W. ARBOR DRIVE MC# 8218
SAN DIEGO, CA 92103
(760) 235-1951
1194551861 JOANNA MARIE CIAFONE APRN
Individual
Nurse Practitioner (Psychiatric/Mental Health)200 W. ARBOR DRIVE
SAN DIEGO, CA 92103
(800) 926-8273
1588466114 TOREY AVERICK MD
Individual
Student in an Organized Health Care Education/Training Program200 W. ARBOR DRIVE MAIL CODE# 8218
SAN DIEGO, CA 92103
(707) 763-0794
1073307849 JOSEPH BARNETT M.D., PH.D.
Individual
Student in an Organized Health Care Education/Training Program200 W. ARBOR DRIVE MC# 8218
SAN DIEGO, CA 92103
(619) 471-0283
1255919742 LUKE ANTHONY SPADY
Individual
Hospitalist200 W. ARBOR DRIVE
SAN DIEGO, CA 92103
(619) 471-0434

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124878863, enumerated in the NPI registry as an "individual" on March 25, 2024

The provider is located at 200 W. Arbor Drive Mc# 8218 San Diego, Ca 92103 and the phone number is (619) 471-0283

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

This NPI record was last updated on March 25, 2024. 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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