PLASTIC SURGERY GROUP, A MEDICAL CORPORATION
NPI 1689097883
Specialist in Corona Del Mar, CA
NPI Status: Active since January 24, 2014
Contact Information
1101 BAYSIDE DR
SUITE 100
CORONA DEL MAR, CA
ZIP 92625
Phone: (949) 718-6900
- Organization
- Specialist
About PLASTIC SURGERY GROUP, A MEDICAL CORPORATION
This page provides the complete NPI Profile along with additional information for Plastic Surgery Group, A Medical Corporation, a provider established in Corona Del Mar, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1689097883 assigned on January 2014. The practitioner's primary taxonomy code is 174400000X with license number A30397 (CA). The provider is registered as an organization and their NPI record was last updated 12 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 authorized official of this NPI record is Mr. Devon Niccole Mba (Ceo)
- NPI
- 1689097883
- Provider Name
- PLASTIC SURGERY GROUP, A MEDICAL CORPORATION
- Entity Type
- Organization
- Location Address
- 1101 BAYSIDE DR SUITE 100 CORONA DEL MAR, CA 92625
- Location Phone
- (949) 718-6900
- Mailing Address
- 1101 BAYSIDE DR SUITE 100 CORONA DEL MAR, CA 92625
- Mailing Phone
- (949) 718-6900
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-24-2014
- Last Update Date
- 01-24-2014
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- A30397
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X 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.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| A26098 | MEDICARE UPIN (02) | CA |
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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 | 8 | 9 | 0 | 9 | 7 | 8 | 8 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 0 | 9 | 14 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 0 + 9 + 1 + 4 + 8 + 1 + 6 + 24 = 77 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 77 = 3 | 3 | ||||||||
The NPI number 1689097883 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1720298615 | DR. STEPHEN SUTHERLAND M.D. Individual | Surgery (Plastic and Reconstructive Surgery) | 1101 BAYSIDE DR STE. 100 CORONA DEL MAR, CA 92625 (949) 718-6900 |
| 1184909327 | MICHAEL W. NICCOLE, MD, INC. Organization | Specialist | 1101 BAYSIDE DR SUITE 100 CORONA DEL MAR, CA 92625 (949) 718-6900 |
| 1275918583 | HANS JORG ROSLER MD LLC Organization | Pain Medicine (Pain Medicine) | 1101 BAYSIDE DR SUITE 100 CORONA DEL MAR, CA 92625 (702) 357-8004 |
| 1053545905 | SOUTH COAST OUTPATIENT SURG CTR BALBOA SURGERY CENTER Organization | Clinic/Center (Ambulatory Surgical) | 1101 BAYSIDE DR SUITE 101 CORONA DEL MAR, CA 92625 (949) 718-6900 |
| 1477048304 | KATHERINE MACBARRON Individual | Physician Assistant | 1101 BAYSIDE DR CORONA DEL MAR, CA 92625 (949) 718-6900 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689097883, enumerated in the NPI registry as an "organization" on January 24, 2014
The provider is located at 1101 Bayside Dr Suite 100 Corona Del Mar, Ca 92625 and the phone number is (949) 718-6900
This medical organization specializes in Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on January 24, 2014. 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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