METROPOLITAN INDUSTRIAL MEDICAL CLINIC
NPI 1689717613
Clinic/Center - Occupational Medicine in Fontana, CA

NPI Status: Active since February 15, 2007

Contact Information

10444 LIVEOAK AVE.
FONTANA, CA
ZIP 92337
Phone: (909) 770-8293
Fax: (909) 770-8298

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  • Organization
  • Clinic/Center
  • Occupational Medicine

About METROPOLITAN INDUSTRIAL MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Metropolitan Industrial Medical Clinic, a provider established in Fontana, California operating as a Clinic/center, focusing in occupational medicine . The healthcare provider is registered in the NPI registry with number 1689717613 assigned on February 2007. The practitioner's primary taxonomy code is 261QX0100X with license number A040591 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Metropolitan Industrial Medical Clinic. The authorized official of this NPI record is Azer Rezk (Administrator)

NPI
1689717613
Provider Legal Name
SAN MARCOS MEDICAL GROUP
Other Organization Name
METROPOLITAN INDUSTRIAL MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10444 LIVEOAK AVE. FONTANA, CA 92337
Location Phone
(909) 770-8293
Location Fax
(909) 770-8298
Mailing Address
10444 LIVEOAK AVE. FONTANA, CA 92337
Mailing Phone
(909) 770-8293
Mailing Fax
(909) 770-8298
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-15-2007
Last Update Date
08-22-2020
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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 Occupational Medicine

Taxonomy Code
261QX0100X
Type
Ambulatory Health Care Facilities
License No.
A040591
License State
CA

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.

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

AZER REZK

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(909) 376-7715

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
A045091OTHER (01)CAMEDICAL LISCENCE

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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.
1689717613
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691411462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 4 + 1 + 1 + 4 + 6 + 2 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1689717613 is valid because the calculated check digit 3 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 1689717613, enumerated in the NPI registry as an "organization" on February 15, 2007

The provider is located at 10444 Liveoak Ave. Fontana, Ca 92337 and the phone number is (909) 770-8293

This medical organization specializes in Clinic/Center with taxonomy code 261QX0100X with a focus in Occupational Medicine

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 February 15, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.