PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C
NPI 1598538761
Clinic/Center - Multi-Specialty in San Bruno, CA

NPI Status: Active since October 31, 2023

Contact Information

1100 GRUNDY LN
SAN BRUNO, CA
ZIP 94066
Phone: (650) 262-1307
Fax: (650) 653-2510

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C

This page provides the complete NPI Profile along with additional information for Premise Health Of California Medical, P.c, a provider established in San Bruno, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1598538761 assigned on October 2023. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is William Wright (Legal Counsel)

NPI
1598538761
Provider Name
PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C
Entity Type
Organization
Location Address
1100 GRUNDY LN SAN BRUNO, CA 94066
Location Phone
(650) 262-1307
Location Fax
(650) 653-2510
Mailing Address
5500 MARYLAND WAY STE 120 BRENTWOOD, TN 37027
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-31-2023
Last Update Date
10-31-2023
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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

WILLIAM WRIGHT

Authorized Official Title
LEGAL COUNSEL
Authorized Official Phone
(615) 577-5893

Reviews for PREMISE HEALTH OF CALIFORNIA MEDICAL, P.C

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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.
1598538761
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2518810316712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 8 + 8 + 1 + 0 + 3 + 1 + 6 + 7 + 1 + 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 1598538761 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 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750429932MR. MARIO ALBERTO SANDOVAL
Individual
Psychologist (Clinical)1100 GRUNDY LN
SAN BRUNO, CA 94066
(888) 201-1937
1487213781ONE MEDICAL GROUP, INC.
Organization
Family Medicine1100 GRUNDY LN
SAN BRUNO, CA 94066
(650) 227-7890
1821176595 HENRY M. ROQUE MD
Individual
Internal Medicine1100 GRUNDY LN
SAN BRUNO, CA 94066
(650) 227-1150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598538761, enumerated in the NPI registry as an "organization" on October 31, 2023

The provider is located at 1100 Grundy Ln San Bruno, Ca 94066 and the phone number is (650) 262-1307

This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty

This NPI record was last updated on October 31, 2023. 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.