ANGEL FULLERTON MEDICAL GROUP
NPI 1689271389
Clinic/Center - Primary Care in Fullerton, CA
NPI Status: Active since October 06, 2020
Contact Information
1125 W ORANGETHORPE AVE
FULLERTON, CA
ZIP 92833
Phone: (714) 870-1888
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 05D2269245
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-21-2026
About ANGEL FULLERTON MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Angel Fullerton Medical Group, a primary care provider established in Fullerton, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1689271389 assigned on October 2020. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Gerardo Canchola Md (Medical Director)
- NPI
- 1689271389
- Provider Name
- ANGEL FULLERTON MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 1125 W ORANGETHORPE AVE FULLERTON, CA 92833
- Location Phone
- (714) 870-1888
- Mailing Address
- 1125 W ORANGETHORPE AVE FULLERTON, CA 92833
- Mailing Phone
- (714) 870-1888
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-06-2020
- Last Update Date
- 10-06-2020
- Code Navigator
A primary care provider (PCP) like Angel Fullerton Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
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 |
|---|---|---|---|
| 1720399843 | OTHER (01) | CA | GENERAL PRACTICE |
| 1639185879 | OTHER (01) | CA | GENERAL PRACTICE |
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
- 05D2269245
- Facility Type
- Physician Office
- Certificate Effective Date
- September 22, 2024
- Certificate Expiration Date
- September 21, 2026
- Laboratory Director
- GERARDO CANCHOLA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Angel Fullerton Medical Group 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 | 8 | 9 | 2 | 7 | 1 | 3 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 16 | 9 | 4 | 7 | 2 | 3 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 6 + 9 + 4 + 7 + 2 + 3 + 1 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1689271389 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1356600589 | CLINCA MEDICA DEL ANGEL Organization | Preferred Provider Organization | 1125 W ORANGETHORPE AVE FULLERTON, CA 92833 (714) 870-1888 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689271389, enumerated in the NPI registry as an "organization" on October 06, 2020
The provider is located at 1125 W Orangethorpe Ave Fullerton, Ca 92833 and the phone number is (714) 870-1888
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
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.
The provider's CLIA number is 05D2269245 for a "physician office" 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 October 06, 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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