MEMORIAL RESEARCH MEDICAL CLINIC
NPI 1720256415
Internal Medicine in Tustin, CA
NPI Status: Active since February 14, 2008
Contact Information
14351 MYFORD RD
SUITE B
TUSTIN, CA
ZIP 92780
Phone: (714) 550-9990
Fax: (714) 210-7087
- Organization
- Internal Medicine
- CLIA Number: 05D2170609
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-13-2025
About MEMORIAL RESEARCH MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Memorial Research Medical Clinic, an internist established in Tustin, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1720256415 assigned on February 2008. The practitioner's primary taxonomy code is 207R00000X with license number A50551 (CA). 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 Joel M Neutel M.d. (Med Director)
- NPI
- 1720256415
- Provider Name
- MEMORIAL RESEARCH MEDICAL CLINIC
- Entity Type
- Organization
- Location Address
- 14351 MYFORD RD SUITE B TUSTIN, CA 92780
- Location Phone
- (714) 550-9990
- Location Fax
- (714) 210-7087
- Mailing Address
- 14351 MYFORD RD SUITE B TUSTIN, CA 92780
- Mailing Phone
- (714) 550-9990
- Mailing Fax
- (714) 210-7087
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-14-2008
- Last Update Date
- 07-30-2008
- Code Navigator
An internist like Memorial Research Medical Clinic 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
- License No.
- A50551
- License State
- CA
- 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 193400000X 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.
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.
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 |
|---|---|---|---|
| A50551 | OTHER (01) | CA | LICENSE NO |
| W13555A | MEDICARE PIN (08) | CA |
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
- 05D2170609
- Facility Type
- Physician Office
- Certificate Effective Date
- August 14, 2023
- Certificate Expiration Date
- August 13, 2025
- Laboratory Director
- RACHIT DOSHI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Memorial Research Medical Clinic 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.
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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 | 2 | 0 | 2 | 5 | 6 | 4 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 4 | 5 | 12 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 4 + 5 + 1 + 2 + 4 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1720256415 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 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1245214014 | DR. DAVID HERBER GEORGE SMITH MD Individual | Legal Medicine | 14351 MYFORD RD SUITE B TUSTIN, CA 92780 (714) 550-9990 |
| 1134405012 | EPINEX DIAGNOSTICS LABORATORIES, INC. Organization | Clinical Medical Laboratory | 14351 MYFORD RD SUITE K TUSTIN, CA 92780 (949) 464-5682 |
| 1730163965 | DR. JOEL M NEUTEL MD Individual | Legal Medicine | 14351 MYFORD RD SUITE B TUSTIN, CA 92780 (714) 550-9990 |
| 1164648556 | MADONNA A NICOLAI CFNP Individual | Internal Medicine | 14351 MYFORD RD SUITE B TUSTIN, CA 92780 (714) 550-9990 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720256415, enumerated in the NPI registry as an "organization" on February 14, 2008
The provider is located at 14351 Myford Rd Suite B Tustin, Ca 92780 and the phone number is (714) 550-9990
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
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.
The provider's CLIA number is 05D2170609 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 February 14, 2008. 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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