POWAY INTEGRATIVE MEDICINE CENTER
NPI 1750521241
Non-Pharmacy Dispensing Site in Poway, CA

NPI Status: Active since February 24, 2009

Contact Information

12630 MONTE VISTA RD
209
POWAY, CA
ZIP 92064
Phone: (858) 312-1672

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  • Organization
  • Non-Pharmacy Dispensing Site

About POWAY INTEGRATIVE MEDICINE CENTER

This page provides the complete NPI Profile along with additional information for Poway Integrative Medicine Center, a provider established in Poway, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1750521241 assigned on February 2009. The practitioner's primary taxonomy code is 332900000X with license number 65247 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Poway Integrative Medicine Center. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1750521241
Provider Legal Name
JILL COTTEL MD, IN.
Other Organization Name
POWAY INTEGRATIVE MEDICINE CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
12630 MONTE VISTA RD 209 POWAY, CA 92064
Location Phone
(858) 312-1672
Mailing Address
9276 SCRANTON RD SUITE 100 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-24-2009
Last Update Date
05-05-2016
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
65247
License State
CA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 625-2990

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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.
1750521241
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27100102228
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 2 + 2 + 2 + 8 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1750521241 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1720038458 LON SCOTT POLINER M.D.
Individual
Ophthalmology12630 MONTE VISTA RD SUITE #104
POWAY, CA 92064
(858) 451-1911
1265483085DR. CYNTHIA ANN ROBERTSON MD
Individual
Internal Medicine12630 MONTE VISTA RD SUITE 209
POWAY, CA 92064
(858) 485-7648
1477595189DR. ASHISH KUMAR WADHWA MD
Individual
Otolaryngology12630 MONTE VISTA RD SUITE 206
POWAY, CA 92064
(858) 674-1165
1477599298DR. ROBERT W BARR MD
Individual
Pediatrics12630 MONTE VISTA RD 109
POWAY, CA 92064
(858) 673-9270
1154330496MRS. MARY PATRICIA HALL PT
Individual
Physical Therapist12630 MONTE VISTA RD STE. 204
POWAY, CA 92064
(858) 485-7103
1902916349DR. MERTON CHIKAO SUZUKI M.D.
Individual
Plastic Surgery12630 MONTE VISTA RD SUITE 108
POWAY, CA 92064
(858) 487-6860
1285793125VRIJESH S TANTUWAYA, MD, INC
Organization
Neurological Surgery12630 MONTE VISTA RD SUITE 105
POWAY, CA 92064
(858) 312-5016
1497968887 JODI K. WOJCIK AU. D.
Individual
Audiologist12630 MONTE VISTA RD #206
POWAY, CA 92064
(858) 674-1165
1396950820 CASSONDRA PAMELA GRAFF LCSW
Individual
Social Worker (Clinical)12630 MONTE VISTA RD SUITE 202
POWAY, CA 92064
(858) 484-3602
1447467212MS. JAYMA E KIM M.F.T.
Individual
Marriage & Family Therapist12630 MONTE VISTA RD SUITE 202
POWAY, CA 92064
(858) 675-2223
1972749372MERTON SUZUKI MD INC
Organization
Clinic/Center (Ambulatory Surgical)12630 MONTE VISTA RD SUITE 108
POWAY, CA 92064
(858) 487-6860
1700119880 HELENA JAYASURIYA L.C.S.W.
Individual
Social Worker (Clinical)12630 MONTE VISTA RD SUITE 202
POWAY, CA 92064
(858) 675-9492
1982991337CONSENSUS MD INC
Organization
Neurological Surgery12630 MONTE VISTA RD SUITE 105
POWAY, CA 92064
(858) 312-5016
1821371683FOR DOCTORS CONSULTING GROUP
Organization
Durable Medical Equipment & Medical Supplies12630 MONTE VISTA RD SUITE 210
POWAY, CA 92064
(858) 312-1327
1033293840DR. JAMES FRANCIS MARINO M.D.
Individual
Orthopaedic Surgery12630 MONTE VISTA RD SUITE 105
POWAY, CA 92064
(858) 487-6440
1235134966DR. VRIJESH SHANTANU TANTUWAYA MD
Individual
Neurological Surgery12630 MONTE VISTA RD SUITE 105
POWAY, CA 92064
(858) 312-5016
1477606440DR. MONIQUE MASSE M.D.
Individual
Psychiatry & Neurology (Psychiatry)12630 MONTE VISTA RD SUITE 202
POWAY, CA 92064
(858) 485-9102
1205149804HANGER PROSTHETICS & ORTHOTICS WEST, INC.
Organization
Prosthetic/Orthotic Supplier12630 MONTE VISTA RD STE 101
POWAY, CA 92064
(858) 485-1620
1467625210JAMES F MARINO M D INC
Organization
Orthopaedic Surgery12630 MONTE VISTA RD SUITE 105
POWAY, CA 92064
(858) 487-6440
1053449496DR. ROBERT JEFFREY MARCUS D.M.D.
Individual
Dentist (General Practice)12630 MONTE VISTA RD # 109
POWAY, CA 92064
(858) 675-2285

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750521241, enumerated in the NPI registry as an "organization" on February 24, 2009

The provider is located at 12630 Monte Vista Rd 209 Poway, Ca 92064 and the phone number is (858) 312-1672

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

This NPI record was last updated on February 24, 2009. 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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