MISSION MEDICAL
NPI 1306183835
Specialist in Colton, CA

NPI Status: Active since January 03, 2013

Contact Information

900 E WASHINGTON ST
SUITE 100A
COLTON, CA
ZIP 92324
Phone: (909) 370-0300
Fax: (909) 370-0303

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  • Organization
  • Specialist

About MISSION MEDICAL

This page provides the complete NPI Profile along with additional information for Mission Medical, a provider established in Colton, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1306183835 assigned on January 2013. The practitioner's primary taxonomy code is 174400000X with license number G75806 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Mission Medical. The authorized official of this NPI record is Dr. Jiensup Kim Md (President)

NPI
1306183835
Provider Legal Name
JIENSUP KIM MD A PROFESSIONAL CORPORATION
Other Organization Name
MISSION MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
900 E WASHINGTON ST SUITE 100A COLTON, CA 92324
Location Phone
(909) 370-0300
Location Fax
(909) 370-0303
Mailing Address
900 E WASHINGTON ST SUITE 100A COLTON, CA 92324
Mailing Phone
(909) 370-0300
Mailing Fax
(909) 370-0303
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-03-2013
Last Update Date
02-20-2013
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
G75806
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DR. JIENSUP KIM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(909) 370-0300

Reviews for MISSION MEDICAL

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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.
1306183835
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
230628686
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 0 + 6 + 2 + 8 + 6 + 8 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1306183835 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1033114764PREMIER OUTPATIENT SURGERY CENTER, INC.
Organization
Clinic/Center (Ambulatory Surgical)900 E WASHINGTON ST STE 155
COLTON, CA 92324
(909) 370-2190
1639131154 JIENSUP KIM M.D.
Individual
Physical Medicine & Rehabilitation (Pain Medicine)900 E WASHINGTON ST SUITE 100A
COLTON, CA 92324
(909) 370-0300
1992739833 DONALD EVERETT HILLS P.A.-C
Individual
Physician Assistant (Surgical)900 E WASHINGTON ST SUITE 100
COLTON, CA 92324
(909) 433-3200
1003834243 DAVID LYMAN WOOD M.D.
Individual
Orthopaedic Surgery900 E WASHINGTON ST SUITE 100
COLTON, CA 92324
(909) 433-3200
1568759082UNIVERSITY SPINE AND ORTHOPEDICS
Organization
Orthopaedic Surgery900 E WASHINGTON ST SUITE 100
COLTON, CA 92324
(909) 433-3200
1417229303DR. PATRICK JEROME WYMORE DC
Individual
Chiropractor900 E WASHINGTON ST SUITE 300
COLTON, CA 92324
(909) 824-2422
1346508983 BARRY A WOOD RPT
Individual
Physical Therapist (Orthopedic)900 E WASHINGTON ST STE. 100
COLTON, CA 92324
(909) 433-3200
1104832039MR. MICHAEL T REID CRNA
Individual
Nurse Anesthetist, Certified Registered900 E WASHINGTON ST STE. 100
COLTON, CA 92324
(909) 370-2190
1598190589MISSION IMAGING INC
Organization
Clinic/Center (Magnetic Resonance Imaging (MRI))900 E WASHINGTON ST SUITE 150
COLTON, CA 92324
(909) 370-0300
1992000574 PATRICK TYE CREASY PA
Individual
Physician Assistant (Medical)900 E WASHINGTON ST SUITE 301
COLTON, CA 92324
(909) 370-0300
1336299072EXECUTIVE MEDICAL & SURGICAL ASSOCIATES INC.
Organization
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)900 E WASHINGTON ST SUITE 300
COLTON, CA 92324
(909) 824-2422
1740653385PREMIER SURGERY CENTER, INC.
Organization
Clinic/Center (Ambulatory Surgical)900 E WASHINGTON ST
COLTON, CA 92324
(909) 370-2190
1184163016GLOBAL ANESTHESIA SERVICES INC A PROFESSIONAL NURSING CORPORATION
Organization
Nurse Anesthetist, Certified Registered900 E WASHINGTON ST SUITE 155
COLTON, CA 92324
(909) 370-2190
1457315269 THOMAS KENT DONALDSON MD
Individual
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)900 E WASHINGTON ST #200
COLTON, CA 92324
(909) 882-5867
1952407009ARROWBACK MEDICAL GROUP
Organization
Orthopaedic Surgery900 E WASHINGTON ST SUITE 100
COLTON, CA 92324
(909) 433-3200
1407445687E ALBERT GUARIN BALBAS MD PC
Organization
Physical Medicine & Rehabilitation (Pain Medicine)900 E WASHINGTON ST SUITE 300
COLTON, CA 92324
(909) 824-2422
1417612714JUMART ANESTHESIA, INC
Organization
Nurse Anesthetist, Certified Registered900 E WASHINGTON ST SUITE 155
COLTON, CA 92324
(909) 370-2190
1477569317MR. JASON SHERMAN CRNA
Individual
Nurse Anesthetist, Certified Registered900 E WASHINGTON ST STE. 100
COLTON, CA 92324
(909) 370-2190
1912913849MR. MATTHEW L. RUIZ CRNA
Individual
Nurse Anesthetist, Certified Registered900 E WASHINGTON ST STE. 100
COLTON, CA 92324
(909) 370-2190
1740427012 AL JOSE QUINTANA PA-C
Individual
Physician Assistant900 E WASHINGTON ST SUITE 200
COLTON, CA 92324
(909) 882-5867

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1306183835, enumerated in the NPI registry as an "organization" on January 03, 2013

The provider is located at 900 E Washington St Suite 100a Colton, Ca 92324 and the phone number is (909) 370-0300

This medical organization specializes in Specialist with taxonomy code 174400000X

This NPI record was last updated on January 03, 2013. 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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