INTERCOMMUNITY MEDICAL GROUP
NPI 1710057781
Internal Medicine in Fairfield, CA
NPI Status: Active since November 08, 2006
Contact Information
1525 WEBSTER ST
STE A
FAIRFIELD, CA
ZIP 94533
Phone: (907) 423-2510
Fax: (907) 425-4236
- Organization
- Internal Medicine
- CLIA Number: 05D2292968
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-31-2025
About INTERCOMMUNITY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Intercommunity Medical Group, an internist established in Fairfield, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1710057781 assigned on November 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Intercommunity Medical Group 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 Belinda Lambert (Credentialing Office Manager)
- NPI
- 1710057781
- Provider Name
- INTERCOMMUNITY MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 1525 WEBSTER ST STE A FAIRFIELD, CA 94533
- Location Phone
- (907) 423-2510
- Location Fax
- (907) 425-4236
- Mailing Address
- 1525 WEBSTER ST STE A FAIRFIELD, CA 94533
- Mailing Phone
- (907) 423-2510
- Mailing Fax
- (907) 425-4236
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-08-2006
- Last Update Date
- 08-22-2020
- Code Navigator
An internist like Intercommunity Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.
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
- 05D2292968
- Facility Type
- Physician Office
- Certificate Effective Date
- November 01, 2023
- Certificate Expiration Date
- October 31, 2025
- Laboratory Director
- GURINDER S. DHILLON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Intercommunity 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.
Reviews for INTERCOMMUNITY 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. | |||||||||
| 1 | 7 | 1 | 0 | 0 | 5 | 7 | 7 | 8 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 0 | 5 | 14 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 0 + 5 + 1 + 4 + 7 + 1 + 6 + 24 = 59 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 59 = 1 | 1 | ||||||||
The NPI number 1710057781 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1306936000 | FRANKLYN E SEABROOKS MD Individual | Orthopaedic Surgery | 1525 WEBSTER ST SUITE A FAIRFIELD, CA 94533 (707) 423-2510 |
| 1205055860 | DR. FULTON JOSEPH ZINK DDS Individual | Dentist (Periodontics) | 1525 WEBSTER ST SUITE F FAIRFIELD, CA 94533 (707) 426-0541 |
| 1821289778 | KYLE F ECKHART CPO Individual | Orthotic Fitter | 1525 WEBSTER ST STE. E FAIRFIELD, CA 94533 (707) 425-5028 |
| 1114119526 | SON LAM NGUYEN M.D. Individual | Internal Medicine | 1525 WEBSTER ST A FAIRFIELD, CA 94533 (707) 423-9484 |
| 1376730788 | YOLANDA WAFER Individual | Orthotic Fitter | 1525 WEBSTER ST SUITE E FAIRFIELD, CA 94533 (707) 425-5028 |
| 1306092838 | BAY AREA PULMONARY AND CRITICAL CARE MEDICAL GROUP Organization | Internal Medicine (Pulmonary Disease) | 1525 WEBSTER ST SUITE A FAIRFIELD, CA 94533 (707) 423-2506 |
| 1871811430 | AWAN PROFESSIONAL MEDICAL CORP. Organization | Internal Medicine (Cardiovascular Disease) | 1525 WEBSTER ST SUITE A FAIRFIELD, CA 94533 (707) 423-2506 |
| 1326318312 | ROBERT A. VARADY M.D. INC. A PROFESSIONAL CORPORATION Organization | Family Medicine | 1525 WEBSTER ST SUITE B FAIRFIELD, CA 94533 (707) 428-0778 |
| 1619993243 | DR. MERLE RAY SOGGE M.D. Individual | Internal Medicine (Gastroenterology) | 1525 WEBSTER ST SUITE A FAIRFIELD, CA 94533 (707) 423-2506 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710057781, enumerated in the NPI registry as an "organization" on November 08, 2006
The provider is located at 1525 Webster St Ste A Fairfield, Ca 94533 and the phone number is (907) 423-2510
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 05D2292968 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 November 08, 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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