PEGASUS MEDICAL GROUP, INC.
NPI 1609088707
Health Maintenance Organization in Palmdale, CA

NPI Status: Active since May 03, 2007

Contact Information

2151 E PALMDALE BLVD
PALMDALE, CA
ZIP 93550
Phone: (661) 273-3222
Fax: (661) 947-7269

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About PEGASUS MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Pegasus Medical Group, Inc., a provider established in Palmdale, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1609088707 assigned on May 2007. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Lori Gabbard (Director Of Operations)

NPI
1609088707
Provider Name
PEGASUS MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
2151 E PALMDALE BLVD PALMDALE, CA 93550
Location Phone
(661) 273-3222
Location Fax
(661) 947-7269
Mailing Address
2151 E PALMDALE BLVD PALMDALE, CA 93550
Mailing Phone
(661) 273-3222
Mailing Fax
(661) 947-7269
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
08-22-2020
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

MRS. LORI GABBARD

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(661) 273-3222

Reviews for PEGASUS MEDICAL GROUP, INC.

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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.
1609088707
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2609081670
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 0 + 9 + 0 + 8 + 1 + 6 + 7 + 0 + 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 1609088707 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 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083894083 GIFTY-MARIA JANE NTIM M.D.
Individual
Internal Medicine2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 575-0009
1346563673ANTELOPE VALLEY COMMUNITY CLINIC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 575-0009
1275847436MS. DIANE ELIZABETH BITE FNP
Individual
Nurse Practitioner (Family)2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 575-0009
1689957896MRS. LUISA M JENKINS RDH
Individual
Dental Hygienist2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 575-0009
1578767877MS. MELISSA M MARROQUIN LCSW
Individual
Social Worker (Clinical)2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 942-2391
1174998322 MARIGOLD ROSE ALMORADIE REYES D.M.D.
Individual
Dentist (General Practice)2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 942-2391
1700337268 ADRIANNE FLETCHER RDH 30146
Individual
Dental Hygienist2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 942-2391
1902455827 SANDY PENA LCSW
Individual
Social Worker (Clinical)2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 942-2391
1154867026 ELLEN NGO GURAY PA-C
Individual
Physician Assistant2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 942-2391
1780144303JWCH INSTITUTE, INC.
Organization
Clinic/Center (Community Health)2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 942-2391
1144511668 PAUL EDWARD ROUND D.O.
Individual
Pediatrics2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 942-2391
1083162184DR. TEJASWINI RUDRAPRAKASHA DDS
Individual
Dentist2151 E PALMDALE BLVD
PALMDALE, CA 93550
(562) 867-7999
1164626958 DIANA G YOUNG DMD
Individual
Dentist (General Practice)2151 E PALMDALE BLVD
PALMDALE, CA 93550
(562) 867-7999
1972023307 ANGELA SUK-MAN CHAN DDS
Individual
Dentist2151 E PALMDALE BLVD
PALMDALE, CA 93550
(562) 867-7999
1215526678 OLUFUNKE ADUNNI ADEWUMI
Individual
Nurse Practitioner (Family)2151 E PALMDALE BLVD
PALMDALE, CA 93550
(562) 867-7999
1457884793DR. NKOLI EZENWA
Individual
Nurse Practitioner (Acute Care)2151 E PALMDALE BLVD
PALMDALE, CA 93550
(562) 867-7999
1316726821DR. SEBASTIEN ERIC DARBOUZE DDS
Individual
Dentist (General Practice)2151 E PALMDALE BLVD
PALMDALE, CA 93550
(661) 485-7500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609088707, enumerated in the NPI registry as an "organization" on May 03, 2007

The provider is located at 2151 E Palmdale Blvd Palmdale, Ca 93550 and the phone number is (661) 273-3222

This medical organization specializes in Health Maintenance Organization with taxonomy code 302R00000X

This NPI record was last updated on May 03, 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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