MILL MEDICAL CLINIC
NPI 1710074877
Clinic/Center - Primary Care in San Bernardino, CA

NPI Status: Active since October 09, 2006

Contact Information

1292 W MILL ST
SUITE 105
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 383-9440
Fax: (909) 383-9443

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  • Organization
  • Clinic/Center
  • Primary Care

About MILL MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Mill Medical Clinic, a primary care provider established in San Bernardino, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1710074877 assigned on October 2006. The practitioner's primary taxonomy code is 261QP2300X with license number A383760 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Mill Medical Clinic. The authorized official of this NPI record is Mr. Paul C Kintanar (Office Manager)

NPI
1710074877
Provider Legal Name
MILL MEDICAL CLINIC INC
Other Organization Name
MILL MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1292 W MILL ST SUITE 105 SAN BERNARDINO, CA 92410
Location Phone
(909) 383-9440
Location Fax
(909) 383-9443
Mailing Address
1292 W MILL ST SUITE 105 SAN BERNARDINO, CA 92410
Mailing Phone
(909) 253-0841
Mailing Fax
(909) 383-9443
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2006
Last Update Date
08-21-2014
Code Navigator

A primary care provider (PCP) like Mill Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
Type
Ambulatory Health Care Facilities
License No.
A383760
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

MR. PAUL C KINTANAR

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(909) 253-0841

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
GR0078010MEDICAID (05)CA 
A28602MEDICARE UPIN (02)CA 
00A383761MEDICAID (05)CA 
00A383760MEDICAID (05)CA 
ZZZ03785ZMEDICARE ID-TYPE UNSPECIFIED (04)CAMEDICARE GROUP ID NO.

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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.
1710074877
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720078814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 0 + 7 + 8 + 8 + 1 + 4 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1710074877 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1073713962 AGNES B KINTANAR M.D.
Individual
General Practice1292 W MILL ST SUITE 105
SAN BERNARDINO, CA 92410
(909) 383-9440
1437712627 HAZEL CAPUTOL LEDESMA
Individual
Nurse Practitioner (Family)1292 W MILL ST
SAN BERNARDINO, CA 92410
(909) 253-0841
1154053528 ANDREW CALEB TOWNLEY FNP-C
Individual
Nurse Practitioner (Family)1292 W MILL ST
SAN BERNARDINO, CA 92410
(909) 253-0841

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710074877, enumerated in the NPI registry as an "organization" on October 09, 2006

The provider is located at 1292 W Mill St Suite 105 San Bernardino, Ca 92410 and the phone number is (909) 383-9440

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

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 09, 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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