SARAH APOLLO DT PC
NPI 1639691397
Family Medicine - Addiction Medicine in Irvine, CA

NPI Status: Active since July 13, 2017

Contact Information

22 ODYSSEY STE 155
IRVINE, CA
ZIP 92618
Phone: (714) 202-7909
Fax: (866) 242-5109

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  • Organization
  • Family Medicine
  • Addiction Medicine

About SARAH APOLLO DT PC

This page provides the complete NPI Profile along with additional information for Sarah Apollo Dt Pc, a provider established in Irvine, California operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1639691397 assigned on July 2017. The practitioner's primary taxonomy code is 207QA0401X with license number 20A6613 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Debra L Sanderson (Clinic Manger)

NPI
1639691397
Provider Name
SARAH APOLLO DT PC
Entity Type
Organization
Location Address
22 ODYSSEY STE 155 IRVINE, CA 92618
Location Phone
(714) 202-7909
Location Fax
(866) 242-5109
Mailing Address
PO BOX 36 DANA POINT, CA 92629
Mailing Phone
(714) 202-7909
Mailing Fax
(866) 242-5109
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-13-2017
Last Update Date
07-28-2017
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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

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
License No.
20A6613
License State
CA
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

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)
1261QR0400XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation

20A6613 (CA)

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

DEBRA L SANDERSON

Authorized Official Title
CLINIC MANGER
Authorized Official Phone
(661) 993-8941

Reviews for SARAH APOLLO DT PC

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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.
1639691397
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691292318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 2 + 9 + 2 + 3 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1639691397 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 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023174752 SAMUEL RYAN PARK MD
Individual
Anesthesiology (Pain Medicine)22 ODYSSEY STE 155
IRVINE, CA 92618
(949) 207-7650
1528314515SAMUEL PARK MD A MEDICAL CORPORATION
Organization
Anesthesiology (Pain Medicine)22 ODYSSEY STE 155
IRVINE, CA 92618
(949) 207-7650
1184025025SAMUEL RYAN PARK, INC
Organization
Pain Medicine (Interventional Pain Medicine)22 ODYSSEY STE 155
IRVINE, CA 92618
(949) 207-7650
1457749624 JIN HEE PARK L.AC.
Individual
Acupuncturist22 ODYSSEY STE 155
IRVINE, CA 92618
(949) 381-5584
1649579343 BARBARA ANN KANGAS NP
Individual
Nurse Practitioner (Family)22 ODYSSEY STE 155
IRVINE, CA 92618
(949) 207-7650
1588033773DR. GRACE GUIMEI YAO, A PROFESSIONAL CORPORATION
Organization
Obstetrics & Gynecology22 ODYSSEY STE 155
IRVINE, CA 92618
(949) 418-7330
1184988461DR. GRACE GUIMEI YAO M.D.,PH.D
Individual
Obstetrics & Gynecology22 ODYSSEY STE 155
IRVINE, CA 92618
(949) 418-7330

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639691397, enumerated in the NPI registry as an "organization" on July 13, 2017

The provider is located at 22 Odyssey Ste 155 Irvine, Ca 92618 and the phone number is (714) 202-7909

This medical organization specializes in Family Medicine with taxonomy code 207QA0401X with a focus in Addiction Medicine

This NPI record was last updated on July 13, 2017. 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.