OAK TREE MEDICAL CORPORATION
NPI 1700980828
Radiology - Diagnostic Radiology in Pasadena, CA

NPI Status: Active since September 11, 2006

Contact Information

751 CORDOVA STREET
SUITE #1
PASADENA, CA
ZIP 91101
Phone: (626) 577-2424
Fax: (626) 577-2995

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  • Organization
  • Radiology
  • Diagnostic Radiology

About OAK TREE MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for Oak Tree Medical Corporation, a provider established in Pasadena, California operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1700980828 assigned on September 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Oak Tree Medical Corporation operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Mr. Robert Edmund Wycoff Ba (Administrative Director)

NPI
1700980828
Provider Name
OAK TREE MEDICAL CORPORATION
Entity Type
Organization
Location Address
751 CORDOVA STREET SUITE #1 PASADENA, CA 91101
Location Phone
(626) 577-2424
Location Fax
(626) 577-2995
Mailing Address
751 CORDOVA STREET SUITE #1 PASADENA, CA 91101
Mailing Phone
(626) 577-2424
Mailing Fax
(626) 577-2995
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2006
Last Update Date
08-28-2008
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License State
CA
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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)
12085R0204XAllopathic & Osteopathic Physicians

Radiology
Vascular & Interventional Radiology

(CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

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

MR. ROBERT EDMUND WYCOFF BA

Authorized Official Title
ADMINISTRATIVE DIRECTOR
Authorized Official Phone
(626) 577-3415

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
W18399MEDICARE ID-TYPE UNSPECIFIED (04) 

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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.
1700980828
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2700188084
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 0 + 0 + 1 + 8 + 8 + 0 + 8 + 4 + 24 = 62
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 62 = 88

The NPI number 1700980828 is valid because the calculated check digit 8 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
1437253556PASADENA MEDICAL IMAGING LLC
Organization
Clinic/Center (Radiology)751 CORDOVA STREET SUITE #1
PASADENA, CA 91101
(626) 577-2424
1740384304 RUSSELL ROBERT WYCOFF MD
Individual
Radiology (Diagnostic Radiology)751 CORDOVA STREET SUITE #1
PASADENA, CA 91101
(626) 577-2424

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700980828, enumerated in the NPI registry as an "organization" on September 11, 2006

The provider is located at 751 Cordova Street Suite #1 Pasadena, Ca 91101 and the phone number is (626) 577-2424

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

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 September 11, 2006. 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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