1ST INDUSTRIAL MEDICAL GROUP
NPI 1689863995
Podiatrist in Orange, CA

NPI Status: Active since October 23, 2007

Contact Information

1234 W CHAPMAN AVE
SUITE 204
ORANGE, CA
ZIP 92868
Phone: (714) 289-4693
Fax: (714) 289-4698

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  • Organization
  • Podiatrist

About 1ST INDUSTRIAL MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for 1st Industrial Medical Group, a provider established in Orange, California operating as a Podiatrist. The healthcare provider is registered in the NPI registry with number 1689863995 assigned on October 2007. The practitioner's primary taxonomy code is 213E00000X. The provider is registered as an organization and their NPI record was last updated 17 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 Mark W Bennallack (Co Owner)

NPI
1689863995
Provider Name
1ST INDUSTRIAL MEDICAL GROUP
Entity Type
Organization
Location Address
1234 W CHAPMAN AVE SUITE 204 ORANGE, CA 92868
Location Phone
(714) 289-4693
Location Fax
(714) 289-4698
Mailing Address
1234 W CHAPMAN AVE SUITE # 204 ORANGE, CA 92868
Mailing Phone
(714) 289-4693
Mailing Fax
(714) 289-4698
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2007
Last Update Date
06-24-2008
Code Navigator

A podiatrist like 1st Industrial Medical Group provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

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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

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

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)
1111N00000XChiropractic Providers

Chiropractor

 
2207LP2900XAllopathic & Osteopathic Physicians

Anesthesiology
Pain Medicine

 
3207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
4207XX0004XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Foot and Ankle Surgery

 
5208100000XAllopathic & Osteopathic Physicians

Physical Medicine & Rehabilitation

 
62086S0122XAllopathic & Osteopathic Physicians

Surgery
Plastic and Reconstructive Surgery

 
7208G00000XAllopathic & Osteopathic Physicians

Thoracic Surgery (Cardiothoracic Vascular Surgery)

 

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

MARK W BENNALLACK

Authorized Official Title
CO OWNER
Authorized Official Phone
(714) 289-4693

Reviews for 1ST INDUSTRIAL MEDICAL GROUP

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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.
1689863995
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261691666918
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 6 + 9 + 1 + 6 + 6 + 6 + 9 + 1 + 8 + 24 = 85
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 85 = 55

The NPI number 1689863995 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023079449DR. SUSAN DEBIN M.D.
Individual
Legal Medicine1234 W CHAPMAN AVE
ORANGE, CA 92868
(714) 532-6713
1699842385 MARK WILLIAM BENNALLACK D.C.
Individual
Chiropractor1234 W CHAPMAN AVE SUITE # 204
ORANGE, CA 92868
(714) 289-4693
1972654887BODY TECH SPORTS & REHAB
Organization
Chiropractor1234 W CHAPMAN AVE SUITE 204
ORANGE, CA 92868
(714) 308-5087
1407835275DR. MARY PEACOCK HARWARD M.D.
Individual
Internal Medicine (Geriatric Medicine)1234 W CHAPMAN AVE SUITE 105
ORANGE, CA 92868
(714) 532-4915
1013456672TRUCARE MEDICAL CORPORATION
Organization
Internal Medicine1234 W CHAPMAN AVE STE# 101
ORANGE, CA 92868
(714) 883-1604
1700927332 SANDRA LYN STEVENS-SURATT O.D.
Individual
Optometrist1234 W CHAPMAN AVE SUITE 201
ORANGE, CA 92868
(714) 997-1091
1942256037BYRON M FENNEMA O.D. INC
Organization
Optometrist1234 W CHAPMAN AVE SUITE 201
ORANGE, CA 92868
(714) 997-1091
1902175276 ROBIN FORDHAM PA
Individual
Physician Assistant (Medical)1234 W CHAPMAN AVE SUITE 101
ORANGE, CA 92868
(714) 532-6713

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689863995, enumerated in the NPI registry as an "organization" on October 23, 2007

The provider is located at 1234 W Chapman Ave Suite 204 Orange, Ca 92868 and the phone number is (714) 289-4693

This medical organization specializes in Podiatrist with taxonomy code 213E00000X

This NPI record was last updated on October 23, 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.