SPACIENDA
NPI 1184306805
Clinic/Center in San Diego, CA

NPI Status: Active since August 02, 2023

Contact Information

5222 BALBOA AVE STE 43
SAN DIEGO, CA
ZIP 92117
Phone: (619) 389-2047

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  • Organization
  • Clinic/Center

About SPACIENDA

This page provides the complete NPI Profile along with additional information for Spacienda, a provider established in San Diego, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1184306805 assigned on August 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Rebekah Abrahim (Owner)

NPI
1184306805
Provider Name
SPACIENDA
Entity Type
Organization
Location Address
5222 BALBOA AVE STE 43 SAN DIEGO, CA 92117
Location Phone
(619) 389-2047
Mailing Address
975 THERMAL AVE SAN DIEGO, CA 92154
Mailing Phone
(619) 261-3434
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-02-2023
Last Update Date
08-02-2023
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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

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
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).

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

REBEKAH ABRAHIM

Authorized Official Title
OWNER
Authorized Official Phone
(619) 389-2047

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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.
1184306805
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21164601280
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 6 + 4 + 6 + 0 + 1 + 2 + 8 + 0 + 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 1184306805 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1174858674 KAILYN FLOWERS L.M.T
Individual
Massage Therapist5222 BALBOA AVE STE 43
SAN DIEGO, CA 92117
(858) 467-9893
1619385739DR. ROBERT RONNIE PONTECORVO JR. ACUPUNCTURE
Individual
Acupuncturist5222 BALBOA AVE STE 43
SAN DIEGO, CA 92117
(877) 909-0508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184306805, enumerated in the NPI registry as an "organization" on August 02, 2023

The provider is located at 5222 Balboa Ave Ste 43 San Diego, Ca 92117 and the phone number is (619) 389-2047

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on August 02, 2023. 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.