ADELANTO MEDICAL CLINIC
NPI 1699029793
Clinic/Center in Adelanto, CA

NPI Status: Active since October 29, 2012

Contact Information

11678 RANCHO RD
ADELANTO, CA
ZIP 92301
Phone: (760) 246-9555
Fax: (760) 246-9115

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  • Organization
  • Clinic/Center

About ADELANTO MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Adelanto Medical Clinic, a provider established in Adelanto, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1699029793 assigned on October 2012. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Adelanto Medical Clinic. The authorized official of this NPI record is Dr. Odochi N. Nwagwu Md (Pediatrician/ceo)

NPI
1699029793
Provider Legal Name
ODOCHI NWAGWU MD INC
Other Organization Name
ADELANTO MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
11678 RANCHO RD ADELANTO, CA 92301
Location Phone
(760) 246-9555
Location Fax
(760) 246-9115
Mailing Address
11678 RANCHO RD ADELANTO, CA 92301
Mailing Phone
(760) 246-9555
Mailing Fax
(760) 246-9115
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-29-2012
Last Update Date
10-29-2012
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

DR. ODOCHI N. NWAGWU MD

Authorized Official Title
PEDIATRICIAN/CEO
Authorized Official Phone
(760) 246-9555

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
G65429MEDICARE PIN (08)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.
1699029793
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261890218718
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 8 + 9 + 0 + 2 + 1 + 8 + 7 + 1 + 8 + 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 = 33

The NPI number 1699029793 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 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619959301ALA-NGWA AMERICAN ENT.INC.
Organization
Specialist11678 RANCHO RD
ADELANTO, CA 92301
(760) 246-9555
1225010903DR. ODOCHI N NWAGWU MD
Individual
Pediatrics11678 RANCHO RD
ADELANTO, CA 92301
(760) 246-9555

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699029793, enumerated in the NPI registry as an "organization" on October 29, 2012

The provider is located at 11678 Rancho Rd Adelanto, Ca 92301 and the phone number is (760) 246-9555

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

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 October 29, 2012. 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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