PACIFIC OAKS MEDICAL GROUP & SUBSIDIARY
NPI 1639669229
Podiatrist in Costa Mesa, CA
NPI Status: Active since May 18, 2018
Contact Information
3140 RED HILL AVE STE 120
COSTA MESA, CA
ZIP 92626
Phone: (949) 263-1242
- Organization
- Podiatrist
- CLIA Number: 05D0707855
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-30-2026
About PACIFIC OAKS MEDICAL GROUP & SUBSIDIARY
This page provides the complete NPI Profile along with additional information for Pacific Oaks Medical Group & Subsidiary, a provider established in Costa Mesa, California operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1639669229 assigned on May 2018. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated 6 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 Robert Scott Loitman (Controller)
- NPI
- 1639669229
- Provider Name
- PACIFIC OAKS MEDICAL GROUP & SUBSIDIARY
- Entity Type
- Organization
- Location Address
- 3140 RED HILL AVE STE 120 COSTA MESA, CA 92626
- Location Phone
- (949) 263-1242
- Mailing Address
- 150 N ROBERTSON BLVD STE 300 BEVERLY HILLS, CA 90211
- Mailing Phone
- (310) 652-2562
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-18-2018
- Last Update Date
- 07-08-2019
- Code Navigator
A podiatrist like Pacific Oaks Medical Group & Subsidiary provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.
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
Podiatrist
- Taxonomy Code
- 213E00000X
- Type
- Podiatric Medicine & Surgery Service Providers
- Taxonomy Description
- A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
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.
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
- 05D0707855
- Facility Type
- Physician Office
- Certificate Effective Date
- July 31, 2024
- Certificate Expiration Date
- July 30, 2026
- Laboratory Director
- DR. RAMPRASAD C. DANDILLAYA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pacific Oaks Medical Group & Subsidiary 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 | 6 | 3 | 9 | 6 | 6 | 9 | 2 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 12 | 6 | 18 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 2 + 6 + 1 + 8 + 2 + 4 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1639669229 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639669229, enumerated in the NPI registry as an "organization" on May 18, 2018
The provider is located at 3140 Red Hill Ave Ste 120 Costa Mesa, Ca 92626 and the phone number is (949) 263-1242
This medical organization specializes in Podiatrist with taxonomy code 213E00000X
The provider's CLIA number is 05D0707855 for a "physician office" 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 May 18, 2018. 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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