CALIFORNIA CLINIC PHYSICIANS MEDICAL GROUP, INC.
NPI 1639842404
Emergency Medicine in La Mesa, CA
NPI Status: Active since July 28, 2021
Contact Information
8851 CENTER DR STE 600
LA MESA, CA
ZIP 91942
Phone: (619) 740-5724
- Organization
- Emergency Medicine
- CLIA Number: 05D2187333
- CLIA Cert. Type: Other - RESEARCH SITE
- CLIA Exp. Date: 06-28-2026
About CALIFORNIA CLINIC PHYSICIANS MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for California Clinic Physicians Medical Group, Inc., a provider established in La Mesa, California operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1639842404 assigned on July 2021. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. California Clinic Physicians Medical Group, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Brian Hoyt Hess Md (President/cfo)
- NPI
- 1639842404
- Provider Name
- CALIFORNIA CLINIC PHYSICIANS MEDICAL GROUP, INC.
- Entity Type
- Organization
- Location Address
- 8851 CENTER DR STE 600 LA MESA, CA 91942
- Location Phone
- (619) 740-5724
- Mailing Address
- 5000 HOPYARD RD STE 100 PLEASANTON, CA 94588
- Mailing Phone
- (865) 500-1315
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-28-2021
- Last Update Date
- 07-28-2021
- Code Navigator
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas 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
- 05D2187333
- Facility Type
- Other - RESEARCH SITE
- Certificate Effective Date
- June 29, 2024
- Certificate Expiration Date
- June 28, 2026
- Laboratory Director
- GEORGE Z. FADDA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to California Clinic Physicians Medical Group, Inc. 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 | 8 | 4 | 2 | 4 | 0 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 16 | 4 | 4 | 4 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 1 + 6 + 4 + 4 + 4 + 0 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1639842404 is valid because the calculated check digit 4 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 1639842404, enumerated in the NPI registry as an "organization" on July 28, 2021
The provider is located at 8851 Center Dr Ste 600 La Mesa, Ca 91942 and the phone number is (619) 740-5724
This medical organization specializes in Emergency Medicine with taxonomy code 207P00000X
The provider's CLIA number is 05D2187333 for a "other - research site" 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 July 28, 2021. 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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