MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION
NPI 1275691339
Clinic/Center - Corporate Health in Modesto, CA
NPI Status: Active since December 04, 2006
Contact Information
3508 DALE RD
MODESTO, CA
ZIP 95356
Phone: (209) 574-1355
Fax: (209) 571-8204
- Organization
- Clinic/Center
- Corporate Health
About MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION
This page provides the complete NPI Profile along with additional information for Med-1 Medical Center Professional Corporation, a provider established in Modesto, California operating as a Clinic/center, focusing in corporate health . The healthcare provider is registered in the NPI registry with number 1275691339 assigned on December 2006. The practitioner's primary taxonomy code is 261QC1800X with license number G75606 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Alan Russakov M.d (President)
- NPI
- 1275691339
- Provider Name
- MED-1 MEDICAL CENTER PROFESSIONAL CORPORATION
- Entity Type
- Organization
- Location Address
- 3508 DALE RD MODESTO, CA 95356
- Location Phone
- (209) 574-1355
- Location Fax
- (209) 571-8204
- Mailing Address
- 3508 DALE RD MODESTO, CA 95356
- Mailing Phone
- (209) 574-1355
- Mailing Fax
- (209) 571-8204
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-04-2006
- Last Update Date
- 08-22-2020
- 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
Clinic/Center Corporate Health
- Taxonomy Code
- 261QC1800X
- Type
- Ambulatory Health Care Facilities
- License No.
- G75606
- License State
- CA
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 |
|---|---|---|---|
| 27743 | OTHER (01) | CA | 27743 |
| CFE33570 | OTHER (01) | CA | LICENCE NUMBER |
| 28332 | OTHER (01) | CA | LICENCE NUMBER |
| NP13918 | OTHER (01) | CA | LICENCE NUMBER |
| 13661 | OTHER (01) | CA | LICENCE NUMBER |
| 15489 | OTHER (01) | CA | LICENCE NUMBER |
| 26254 | OTHER (01) | CA | LICENCE NUMBER |
| 16903 | OTHER (01) | CA | LICENCE NUMBER |
| A52975 | OTHER (01) | CA | LICENCE NUMBER |
| DC0167900 | OTHER (01) | CA | LICENCE NUMBER |
| G66831 | OTHER (01) | CA | LICENCE NUMBER |
| 26062 | OTHER (01) | CA | LICENCE NUMBER |
| FL32707 | OTHER (01) | CA | LICENCE NUMBER |
| PT23734 | OTHER (01) | CA | LICENCE NUMBER |
| 160480 | OTHER (01) | CA | LICENCE NUMBER |
| 18301 | OTHER (01) | CA | LICENCE NUMBER |
| 25608 | OTHER (01) | CA | LICENCE NUMBER |
| 28612 | OTHER (01) | CA | LICENCE NUMBER |
| G75606 | OTHER (01) | CA | LICENCE NUMBER |
| G9700 | OTHER (01) | CA | LICENCE NUMBER |
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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 | 2 | 7 | 5 | 6 | 9 | 1 | 3 | 3 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 12 | 9 | 2 | 3 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 2 + 9 + 2 + 3 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1275691339 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275691339, enumerated in the NPI registry as an "organization" on December 04, 2006
The provider is located at 3508 Dale Rd Modesto, Ca 95356 and the phone number is (209) 574-1355
This medical organization specializes in Clinic/Center with taxonomy code 261QC1800X with a focus in Corporate Health
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 December 04, 2006. 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.