SIMON PEDRO TRUJILLO IDC
NPI 1639793607
Military Health Care Provider - Independent Duty Corpsman in San Clemente, CA

NPI Status: Active since June 04, 2020

Contact Information

85 SANDPIPER AVE
SAN CLEMENTE, CA
ZIP 92672
Phone: (469) 734-1658

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  • Individual
  • Male
  • Military Health Care Provider
  • Independent Duty Corpsman

About SIMON TRUJILLO

This page provides the complete NPI Profile along with additional information for Simon Trujillo, a provider established in San Clemente, California with a medical specialization in Military Health Care Provider, focusing in independent duty corpsman . The healthcare provider is registered in the NPI registry with number 1639793607 assigned on June 2020. The practitioner's primary taxonomy code is 1710I1002X. The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1639793607
Provider Name
SIMON PEDRO TRUJILLO IDC
Gender
Male
Entity Type
Individual
Location Address
85 SANDPIPER AVE SAN CLEMENTE, CA 92672
Location Phone
(469) 734-1658
Mailing Address
85 SANDPIPER AVE SAN CLEMENTE, CA 92672
Mailing Phone
(469) 734-1658
Is Sole Proprietor?
No
Enumeration Date
06-04-2020
Last Update Date
06-04-2020
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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

Military Health Care Provider Independent Duty Corpsman

Taxonomy Code
1710I1002X
Type
Other Service Providers
Taxonomy Description
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

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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.
1639793607
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669149660
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 4 + 9 + 6 + 6 + 0 + 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 1639793607 is valid because the calculated check digit 7 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 1639793607, enumerated in the NPI registry as an "individual" on June 04, 2020

The provider is located at 85 Sandpiper Ave San Clemente, Ca 92672 and the phone number is (469) 734-1658

The provider's speciality is Military Health Care Provider with taxonomy code 1710I1002X with a focus in Independent Duty Corpsman

This NPI record was last updated on June 04, 2020. 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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