CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC.
NPI 1790910610
Clinic/Center - Multi-Specialty in Stockton, CA
NPI Status: Active since May 21, 2009
- Organization
- Clinic/Center
- Multi-Specialty
About CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for California Primary Care Medical Group, Inc., a provider established in Stockton, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1790910610 assigned on May 2009. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Dr. Otashe Nyoku Golden M.d. (Medical Director)
- NPI
- 1790910610
- Provider Name
- CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC.
- Entity Type
- Organization
- Location Address
- 530 W ACACIA ST STOCKTON, CA 95203
- Location Phone
- (209) 944-5550
- Mailing Address
- 530 W ACACIA ST STOCKTON, CA 95203
- Mailing Phone
- (916) 944-5550
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-21-2009
- Last Update Date
- 05-21-2009
- Code Navigator
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | A70035 (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.
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 |
|---|---|---|---|
| H05578 | MEDICARE UPIN (02) | CA |
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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 | 9 | 0 | 9 | 1 | 0 | 6 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 18 | 0 | 18 | 1 | 0 | 6 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 8 + 0 + 1 + 8 + 1 + 0 + 6 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1790910610 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033544325 | DAMERON MEDICAL GROUP, INC. Organization | Family Medicine | 530 W ACACIA ST STOCKTON, CA 95203 (209) 461-3196 |
| 1699195115 | DAMERON HOSPITAL ASSOCIATION Organization | Clinic/Center (Primary Care) | 530 W ACACIA ST SUITE 1 STOCKTON, CA 95203 (209) 944-5410 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790910610, enumerated in the NPI registry as an "organization" on May 21, 2009
The provider is located at 530 W Acacia St Stockton, Ca 95203 and the phone number is (209) 944-5550
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
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 May 21, 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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