ORANGE COUNTY MEDICAL GROUP
NPI 1417172750
Physical Medicine & Rehabilitation - Pain Medicine in Anaheim, CA
NPI Status: Active since April 13, 2007
Contact Information
1211 W LA PALMA AVE
SUITE 709
ANAHEIM, CA
ZIP 92801
Phone: (714) 808-9292
Fax: (714) 808-9393
- Organization
- Physical Medicine & Rehabilitation
- Pain Medicine
- CLIA Number: 05D2288774
- CLIA Cert. Type: Hospice
- CLIA Exp. Date: 08-29-2025
About ORANGE COUNTY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Orange County Medical Group, a provider established in Anaheim, California operating as a Physical Medicine & Rehabilitation, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1417172750 assigned on April 2007. The practitioner's primary taxonomy code is 2081P2900X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Orange County Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Orange County Medical Group. The authorized official of this NPI record is Dr. Howard Rosen M.d. (Medical Director)
- NPI
- 1417172750
- Provider Legal Name
- ORANGE COUNTY MEDICAL GROUP, INC.
- Other Organization Name
- ORANGE COUNTY MEDICAL GROUP
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1211 W LA PALMA AVE SUITE 709 ANAHEIM, CA 92801
- Location Phone
- (714) 808-9292
- Location Fax
- (714) 808-9393
- Mailing Address
- 1211 W LA PALMA AVE SUITE 709 ANAHEIM, CA 92801
- Mailing Phone
- (714) 808-9292
- Mailing Fax
- (714) 808-9393
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-13-2007
- Last Update Date
- 12-04-2009
- 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
Physical Medicine & Rehabilitation Pain Medicine
- Taxonomy Code
- 2081P2900X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 204C00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine, Sports Medicine | |
| 2 | 207RS0010X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | |
| 4 | 207X00000X | Allopathic & Osteopathic Physicians | Orthopaedic Surgery | |
| 5 | 208100000X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2288774
- Facility Type
- Hospice
- Certificate Effective Date
- August 30, 2023
- Certificate Expiration Date
- August 29, 2025
- Laboratory Director
- AHSAN RASHID
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Orange County Medical Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 4 | 1 | 7 | 1 | 7 | 2 | 7 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 2 | 7 | 2 | 7 | 4 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 2 + 7 + 2 + 7 + 4 + 7 + 1 + 0 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1417172750 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1124024104 | DR. MANILAL B MEHTA M.D. Individual | Urology | 1211 W LA PALMA AVE STE 502 ANAHEIM, CA 92801 (714) 776-7090 |
| 1467458455 | MRS. CARMEN M PETRUS P.A. Individual | Physician Assistant (Medical) | 1211 W LA PALMA AVE STE 502 ANAHEIM, CA 92801 (714) 776-7090 |
| 1326044967 | ASSOCIATED GASTROENTEROLOGY MEDICAL GROUP Organization | Specialist | 1211 W LA PALMA AVE STE 306 ANAHEIM, CA 92801 (714) 778-1300 |
| 1740286384 | KEVIN D KUETTEL M.D. Individual | Specialist | 1211 W LA PALMA AVE STE 306 ANAHEIM, CA 92801 (714) 778-1300 |
| 1609873298 | JOEL N LESTER M.D. Individual | Internal Medicine (Medical Oncology) | 1211 W LA PALMA AVE #103 ANAHEIM, CA 92801 (714) 535-3660 |
| 1184622862 | MARCELINO ARENAS PA-C Individual | Family Medicine | 1211 W LA PALMA AVE SUITE 207 ANAHEIM, CA 92801 (714) 772-8282 |
| 1568449965 | DR. MAHAVEER P. KHEMKA M.D Individual | Specialist | 1211 W LA PALMA AVE #410 ANAHEIM, CA 92801 (714) 956-7231 |
| 1386624526 | DR. RUSSELL SCOTT MONTGOMERY M.D. Individual | Specialist | 1211 W LA PALMA AVE SUITE 505 ANAHEIM, CA 92801 (714) 778-1032 |
| 1194705335 | DR. EDWARD FRED LEVINE M.D. Individual | Specialist | 1211 W LA PALMA AVE SUITE 505 ANAHEIM, CA 92801 (714) 778-1032 |
| 1700856598 | DR. WILLIAM JOHN FOLEY M.D. Individual | Specialist | 1211 W LA PALMA AVE SUITE 505 ANAHEIM, CA 92801 (714) 778-1032 |
| 1407820319 | ANAHEIM EYE MEDICAL GROUP INC Organization | Ophthalmology | 1211 W LA PALMA AVE STE 201 ANAHEIM, CA 92801 (714) 533-3126 |
| 1164491239 | STEVEN ARTHUR SCHMIDT M.D. Individual | Ophthalmology | 1211 W LA PALMA AVE SUITE 201 ANAHEIM, CA 92801 (714) 533-3126 |
| 1073575353 | MARK P MILLER M.D. Individual | Internal Medicine (Interventional Cardiology) | 1211 W LA PALMA AVE SUITE 101 ANAHEIM, CA 92801 (714) 635-9680 |
| 1154369148 | MIN MIN MYA M.D. Individual | Internal Medicine | 1211 W LA PALMA AVE SUITE 207 ANAHEIM, CA 92801 (714) 772-8282 |
| 1043255938 | DR. ARCHANA C SHENDE M D Individual | Internal Medicine | 1211 W LA PALMA AVE SUITE 309 ANAHEIM, CA 92801 (714) 999-1050 |
| 1922044874 | WOODHOUSE & KARON, A MEDICAL CORPORATION Organization | Radiology (Radiation Oncology) | 1211 W LA PALMA AVE SUITE 100 ANAHEIM, CA 92801 (714) 991-3380 |
| 1952338105 | GILBERT D ROYS M.D Individual | Surgery | 1211 W LA PALMA AVE SUITE 705 ANAHEIM, CA 92801 (714) 772-6701 |
| 1700813672 | MIGUEL A VELEZ MD Individual | Surgery | 1211 W LA PALMA AVE STE 705 ANAHEIM, CA 92801 (714) 772-6701 |
| 1407872047 | LAKSHMI CHANDRAN SADASIVAM M.D. Individual | Internal Medicine | 1211 W LA PALMA AVE SUITE 207 ANAHEIM, CA 92801 (714) 772-8282 |
| 1295752244 | DR. DONALD J SNIDER M.D. Individual | Psychiatry & Neurology (Neurology) | 1211 W LA PALMA AVE SUITE 608 ANAHEIM, CA 92801 (714) 533-6910 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417172750, enumerated in the NPI registry as an "organization" on April 13, 2007
The provider is located at 1211 W La Palma Ave Suite 709 Anaheim, Ca 92801 and the phone number is (714) 808-9292
This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 2081P2900X with a focus in Pain Medicine
The provider's CLIA number is 05D2288774 for a "hospice" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on April 13, 2007. 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.