PERFORMANCE BOOST CENTER, LLC
NPI 1295376689
Clinic/Center in Newport Beach, CA

NPI Status: Active since October 07, 2019

Contact Information

1501 SUPERIOR AVE STE 304
NEWPORT BEACH, CA
ZIP 92663
Phone: (949) 612-7811
Fax: (848) 612-7822

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  • Organization
  • Clinic/Center

About PERFORMANCE BOOST CENTER, LLC

This page provides the complete NPI Profile along with additional information for Performance Boost Center, Llc, a provider established in Newport Beach, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1295376689 assigned on October 2019. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dean Glassman (Owner)

NPI
1295376689
Provider Name
PERFORMANCE BOOST CENTER, LLC
Entity Type
Organization
Location Address
1501 SUPERIOR AVE STE 304 NEWPORT BEACH, CA 92663
Location Phone
(949) 612-7811
Location Fax
(848) 612-7822
Mailing Address
1501 SUPERIOR AVE STE 304 NEWPORT BEACH, CA 92663
Mailing Phone
(949) 612-7811
Mailing Fax
(848) 612-7822
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-07-2019
Last Update Date
10-07-2019
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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

DEAN GLASSMAN

Authorized Official Title
OWNER
Authorized Official Phone
(626) 388-0700

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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.
1295376689
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221856712616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 6 + 7 + 1 + 2 + 6 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1295376689 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215060512DR. ANDREW R. JARMINSKI M.D.
Individual
Surgery1501 SUPERIOR AVE STE 304
NEWPORT BEACH, CA 92663
(949) 423-7003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295376689, enumerated in the NPI registry as an "organization" on October 07, 2019

The provider is located at 1501 Superior Ave Ste 304 Newport Beach, Ca 92663 and the phone number is (949) 612-7811

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

This NPI record was last updated on October 07, 2019. 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.