SOCAL MEDICAL SERVICES LLC
NPI 1376997411
Physical Medicine & Rehabilitation - Sports Medicine in Anaheim, CA

NPI Status: Active since April 14, 2016

Contact Information

1500 S ANAHEIM BLVD
SUITE 160
ANAHEIM, CA
ZIP 92805
Phone: (657) 999-5679

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  • Organization
  • Physical Medicine & Rehabilitation
  • Sports Medicine

About SOCAL MEDICAL SERVICES LLC

This page provides the complete NPI Profile along with additional information for Socal Medical Services Llc, a provider established in Anaheim, California operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1376997411 assigned on April 2016. The practitioner's primary taxonomy code is 2081S0010X. The provider is registered as an organization and their NPI record was last updated 9 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 authorized official of this NPI record is Mr. Jason Aaron Walter David (Member)

NPI
1376997411
Provider Name
SOCAL MEDICAL SERVICES LLC
Entity Type
Organization
Location Address
1500 S ANAHEIM BLVD SUITE 160 ANAHEIM, CA 92805
Location Phone
(657) 999-5679
Mailing Address
1500 S ANAHEIM BLVD SUITE 160 ANAHEIM, CA 92805
Mailing Phone
(657) 999-5679
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-14-2016
Last Update Date
04-14-2016
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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

Physical Medicine & Rehabilitation Sports Medicine

Taxonomy Code
2081S0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

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

MR. JASON AARON WALTER DAVID

Authorized Official Title
MEMBER
Authorized Official Phone
(657) 999-5679

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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.
1376997411
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461891442
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 8 + 9 + 1 + 4 + 4 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1376997411 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609944420 JILL MARIE WOSMEK MA, ATC
Individual
Specialist/Technologist (Athletic Trainer)1500 S ANAHEIM BLVD
ANAHEIM, CA 92805
(320) 237-5293
1205091956COMPETITIVE ATHLETE TRAINING ZONE OF BREA
Organization
Clinic/Center (Rehabilitation)1500 S ANAHEIM BLVD 140
ANAHEIM, CA 92805
(714) 917-3555
1164752473CHANGE SPORTS PHYSICAL THERAPY INSTITUTE
Organization
Physical Therapist (Orthopedic)1500 S ANAHEIM BLVD SUITE 140
ANAHEIM, CA 92805
(714) 917-3558
1477907517SOCAL THERAPY SERVICES LLC
Organization
Physical Medicine & Rehabilitation (Sports Medicine)1500 S ANAHEIM BLVD SUITE 160
ANAHEIM, CA 92805
(657) 999-5679
1407200546SOCAL DIAGNOSTICS LLC
Organization
Physical Medicine & Rehabilitation (Sports Medicine)1500 S ANAHEIM BLVD SUITE 160
ANAHEIM, CA 92805
(657) 999-5679
1851844708REPAIR SPORTS INSTITUTE
Organization
Physical Therapist (Sports)1500 S ANAHEIM BLVD SUITE 160
ANAHEIM, CA 92805
(714) 377-4314
1134278757 MATT SWIFT PT
Individual
Physical Therapist1500 S ANAHEIM BLVD STE 130
ANAHEIM, CA 92805
(714) 917-3558

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376997411, enumerated in the NPI registry as an "organization" on April 14, 2016

The provider is located at 1500 S Anaheim Blvd Suite 160 Anaheim, Ca 92805 and the phone number is (657) 999-5679

This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 2081S0010X with a focus in Sports Medicine

This NPI record was last updated on April 14, 2016. 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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