EDGAR JESUS MEDINA LPT
NPI 1770074106
Licensed Psychiatric Technician in Long Beach, CA

NPI Status: Active since May 21, 2018

Contact Information

4510 E PACIFIC COAST HWY STE 305
LONG BEACH, CA
ZIP 90804
Phone: (562) 537-4225

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  • Individual
  • Male
  • Licensed Psychiatric Technician

About EDGAR MEDINA

This page provides the complete NPI Profile along with additional information for Edgar Medina, a provider established in Long Beach, California with a medical specialization in Licensed Psychiatric Technician. The healthcare provider is registered in the NPI registry with number 1770074106 assigned on May 2018. The practitioner's primary taxonomy code is 167G00000X with license number 32653 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1770074106
Provider Name
EDGAR JESUS MEDINA LPT
Gender
Male
Entity Type
Individual
Location Address
4510 E PACIFIC COAST HWY STE 305 LONG BEACH, CA 90804
Location Phone
(562) 537-4225
Mailing Address
4510 E PACIFIC COAST HWY STE 305 LONG BEACH, CA 90804
Mailing Phone
(562) 537-4225
Is Sole Proprietor?
No
Enumeration Date
05-21-2018
Last Update Date
05-21-2018
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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

Licensed Psychiatric Technician

Taxonomy Code
167G00000X
Type
Nursing Service Providers
License No.
32653
License State
CA
Taxonomy Description
An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

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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.
1770074106
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714007810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 0 + 7 + 8 + 1 + 0 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1770074106 is valid because the calculated check digit 6 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
1235656844 PHOEBE YEE YAM
Individual
Student in an Organized Health Care Education/Training Program4510 E PACIFIC COAST HWY STE 305
LONG BEACH, CA 90804
(562) 317-3050
1033733068 LAKESHA M KNIGHT RN
Individual
Registered Nurse4510 E PACIFIC COAST HWY STE 305
LONG BEACH, CA 90804
(562) 317-3050
1174009393 CHAUNDRA L BELTON
Individual
Community Health Worker4510 E PACIFIC COAST HWY STE 305
LONG BEACH, CA 90804
(562) 317-3050

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770074106, enumerated in the NPI registry as an "individual" on May 21, 2018

The provider is located at 4510 E Pacific Coast Hwy Ste 305 Long Beach, Ca 90804 and the phone number is (562) 537-4225

The provider's speciality is Licensed Psychiatric Technician with taxonomy code 167G00000X

This NPI record was last updated on May 21, 2018. 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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