PROGRESSIVE MEDICAL SPECIALISTS
NPI 1457533747
Clinic/Center - Methadone in San Diego, CA

NPI Status: Active since November 29, 2007

Contact Information

4974 EL CAJON BLVD
SUITE A
SAN DIEGO, CA
ZIP 92115
Phone: (619) 286-4600
Fax: (619) 286-0060

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  • Organization
  • Clinic/Center
  • Methadone

About PROGRESSIVE MEDICAL SPECIALISTS

This page provides the complete NPI Profile along with additional information for Progressive Medical Specialists, a provider established in San Diego, California operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1457533747 assigned on November 2007. The practitioner's primary taxonomy code is 261QM2800X with license number 37-19 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The authorized official of this NPI record is Tim Boylan (Director)

NPI
1457533747
Provider Name
PROGRESSIVE MEDICAL SPECIALISTS
Entity Type
Organization
Location Address
4974 EL CAJON BLVD SUITE A SAN DIEGO, CA 92115
Location Phone
(619) 286-4600
Location Fax
(619) 286-0060
Mailing Address
4974 EL CAJON BLVD SUITE A SAN DIEGO, CA 92115
Mailing Phone
(619) 286-4600
Mailing Fax
(619) 286-0060
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2007
Last Update Date
11-29-2007
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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 Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
37-19
License State
CA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

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

TIM BOYLAN

Authorized Official Title
DIRECTOR
Authorized Official Phone
(619) 286-4600

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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.
1457533747
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
24107103678
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 1 + 0 + 3 + 6 + 7 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1457533747 is valid because the calculated check digit 7 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
1932251550PROGRESSIVE MEDICAL SPECIALISTS LLC
Organization
Clinic/Center (Methadone)4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1679776058 ELON ARTHUR BURNS
Individual
Counselor (Addiction (Substance Use Disorder))4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1437353257 TINA JULIAN LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1750578050 VANESSA J. PONCE LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1265615223 SARA JOYCE RAMIREZ LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1790962991MR. JESSE ERNEST TRUJILLO
Individual
Counselor (Addiction (Substance Use Disorder))4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1982877833 JENNIFER MARIE MARTIN LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1326214800 REGINA MARIE VELEZ LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1396984167 NORMA CHRISTINA AGUILERA LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1558696435 PENNY JOHNSON CADC II, CACCS
Individual
Counselor (Addiction (Substance Use Disorder))4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1417273954 ROBIN THERESA AMSDEN
Individual
Counselor (Addiction (Substance Use Disorder))4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1033429063 ERIKA MANN HARJU
Individual
Counselor (Addiction (Substance Use Disorder))4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1376822601 KHALILAH TOINYA FERNANDEZ LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1497014443 JOETTA KAY BROWN VN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(916) 667-5271
1538404702 CHRISTOPHER ROBERT CHOW LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1285979450 TESSA BERG
Individual
Licensed Practical Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1649510488 JENNIFER LEA WOLSCHLAG
Individual
Counselor (Addiction (Substance Use Disorder))4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1033451786 ALECIA LANAE LEVESQUE LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1942542113 ARACELI AYALA LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600
1760894471 MEGAN TORREFRANCA LVN
Individual
Licensed Vocational Nurse4974 EL CAJON BLVD SUITE A
SAN DIEGO, CA 92115
(619) 286-4600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457533747, enumerated in the NPI registry as an "organization" on November 29, 2007

The provider is located at 4974 El Cajon Blvd Suite A San Diego, Ca 92115 and the phone number is (619) 286-4600

This medical organization specializes in Clinic/Center with taxonomy code 261QM2800X with a focus in Methadone

This NPI record was last updated on November 29, 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].
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