PEPPERDINE SPORTS MEDICINE
NPI 1649661661
Chiropractor - Sports Physician in Malibu, CA

NPI Status: Active since February 12, 2015

Contact Information

24255 PACIFIC COAST HWY
MALIBU, CA
ZIP 90263
Phone: (310) 506-4602
Fax: (972) 367-3451

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  • Organization
  • Chiropractor
  • Sports Physician

About PEPPERDINE SPORTS MEDICINE

This page provides the complete NPI Profile along with additional information for Pepperdine Sports Medicine, a provider established in Malibu, California operating as a Chiropractor, focusing in sports physician . The healthcare provider is registered in the NPI registry with number 1649661661 assigned on February 2015. The practitioner's primary taxonomy code is 111NS0005X. The provider is registered as an organization and their NPI record was last updated 10 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 provider's is doing business as Pepperdine Sports Medicine. The authorized official of this NPI record is Mouzon Bass Iii (Agent)

NPI
1649661661
Provider Legal Name
PEPPERDINE UNIVERSITY
Other Organization Name
PEPPERDINE SPORTS MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
24255 PACIFIC COAST HWY MALIBU, CA 90263
Location Phone
(310) 506-4602
Location Fax
(972) 367-3451
Mailing Address
5050 SPRING VALLEY RD DALLAS, TX 75244
Mailing Phone
(800) 555-9073
Mailing Fax
(972) 367-3451
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-12-2015
Last Update Date
02-12-2015
Code Navigator

A chiropractor like Pepperdine Sports Medicine helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

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

Chiropractor Sports Physician

Taxonomy Code
111NS0005X
Type
Chiropractic Providers
Taxonomy Description
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

Group Taxonomy 193400000X MULTIPLE 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.

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

MOUZON BASS III

Authorized Official Title
AGENT
Authorized Official Phone

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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.
1649661661
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26891262612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 8 + 9 + 1 + 2 + 6 + 2 + 6 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1649661661 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386686277MR. KEVIN ALLEN WRIGHT ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY PEPPERDINE UNIVERSITY ATHLETICS
MALIBU, CA 90263
(310) 506-4169
1174639355 NICOLE DENISE BULICK ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4169
1437257821MR. FRANK JOHN SHEARER MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY DEPARTMENT OF ATHLETICS, PEPPERDINE UNIVERSITY
MALIBU, CA 90263
(310) 506-4602
1366572588 BARBARA STERN R.N.
Individual
Registered Nurse (College Health)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4316
1295865160MS. LUCY KAISER LARSON M.D.
Individual
Pediatrics24255 PACIFIC COAST HWY PEPPERDINE STUDENT HEALTH CENTER
MALIBU, CA 90263
(310) 506-4316
1073647640 NANCY SAFINICK P.A.
Individual
Physician Assistant24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4316
1518082544 GELIANN KITSIGIANIS M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4316
1255547667DR. KATHLEEN ELDRIDGE PHD
Individual
Psychologist (Clinical)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-8559
1063967016 KATHERINE SNIFFEN ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY ATHLETIC DEPARTMENT
MALIBU, CA 90263
(310) 506-4169
1346301868 JANE GYU YOUNG TSANG MA COUNSELING
Individual
Counselor (Mental Health)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4210
1275186025 KARISSA ANN SCHERER MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4961
1043867971PEPPERDINE UNIVERSITY
Organization
Clinic/Center (Student Health)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4316
1104431451 ALEX JASON VANDER VORSTE MS, ATC
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY PEPPERDINE ATHLETICS - SPORTS MEDICINE
MALIBU, CA 90263
(310) 506-4169
1861917577 NICOLE MARIKO ELBY LEE PT,DPT,SCS,ATC,CSCS
Individual
Physical Therapist (Sports)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(310) 506-4000
1235816695 ANNIE PLUMB LAT, ATC, MS
Individual
Specialist/Technologist (Athletic Trainer)24255 PACIFIC COAST HWY
MALIBU, CA 90263
(402) 517-8488

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649661661, enumerated in the NPI registry as an "organization" on February 12, 2015

The provider is located at 24255 Pacific Coast Hwy Malibu, Ca 90263 and the phone number is (310) 506-4602

This medical organization specializes in Chiropractor with taxonomy code 111NS0005X with a focus in Sports Physician

This NPI record was last updated on February 12, 2015. 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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