CROWN CITY MEDICAL GROUP
NPI 1649602384
Pediatrics in San Bernardino, CA
NPI Status: Active since August 05, 2013
Contact Information
1800 N WESTERN AVE
SUITE 403
SAN BERNARDINO, CA
ZIP 92411
Phone: (909) 887-3087
Fax: (909) 887-2974
- Organization
- Pediatrics
About CROWN CITY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Crown City Medical Group, a pediatrician established in San Bernardino, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1649602384 assigned on August 2013. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. Crown City Medical Group 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 Mrs. Maureen B Tyson (Chief Executive Officer)
- NPI
- 1649602384
- Provider Name
- CROWN CITY MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 1800 N WESTERN AVE SUITE 403 SAN BERNARDINO, CA 92411
- Location Phone
- (909) 887-3087
- Location Fax
- (909) 887-2974
- Mailing Address
- 2589 E WASHINGTON BLVD PASADENA, CA 91107
- Mailing Phone
- (626) 798-8792
- Mailing Fax
- (909) 887-2974
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-05-2013
- Last Update Date
- 08-05-2013
- Code Navigator
A pediatrician like Crown City Medical Group is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine |
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.
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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 | 4 | 9 | 6 | 0 | 2 | 3 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 8 | 9 | 12 | 0 | 4 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 8 + 9 + 1 + 2 + 0 + 4 + 3 + 1 + 6 + 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 1649602384 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1184656928 | MR. WILSON GOMER MD Individual | Internal Medicine | 1800 N WESTERN AVE #103 SAN BERNARDINO, CA 92411 (909) 887-7427 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649602384, enumerated in the NPI registry as an "organization" on August 05, 2013
The provider is located at 1800 N Western Ave Suite 403 San Bernardino, Ca 92411 and the phone number is (909) 887-3087
This medical organization specializes in Pediatrics with taxonomy code 208000000X
This NPI record was last updated on August 05, 2013. 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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