AMITABHA MEDICAL CLINIC
NPI 1821283987
Internal Medicine in Sebastopol, CA

NPI Status: Active since September 12, 2007

Contact Information

7064 CORLINE CT
SUITE A
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 829-5900
Fax: (707) 829-5282

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  • Organization
  • Internal Medicine

About AMITABHA MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Amitabha Medical Clinic, an internist established in Sebastopol, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1821283987 assigned on September 2007. The practitioner's primary taxonomy code is 207R00000X with license number 20A5137 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. Amitabha Medical Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Amitabha Medical Clinic. The authorized official of this NPI record is Dr. Cheri Sue Quincy Do (Ceo)

NPI
1821283987
Provider Legal Name
PACIFIC RIM INTEGRATED MEDICAL GROUP INC
Other Organization Name
AMITABHA MEDICAL CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7064 CORLINE CT SUITE A SEBASTOPOL, CA 95472
Location Phone
(707) 829-5900
Location Fax
(707) 829-5282
Mailing Address
7064 CORLINE CT SUITE A SEBASTOPOL, CA 95472
Mailing Phone
(707) 829-5900
Mailing Fax
(707) 829-5282
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-12-2007
Last Update Date
01-06-2009
Code Navigator

An internist like Amitabha 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.
20A5137
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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

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

DR. CHERI SUE QUINCY DO

Authorized Official Title
CEO
Authorized Official Phone
(707) 542-4800

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
020A51370MEDICARE PIN (08) 
E25223MEDICARE UPIN (02) 
ZZZ13019ZOTHER (01)PIN

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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.
1821283987
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2841486916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 4 + 8 + 6 + 9 + 1 + 6 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1821283987 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 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1558304840DR. CYNTHIA STEFFENSEN BAILEY MD
Individual
Dermatology7064 CORLINE CT BLDG C
SEBASTOPOL, CA 95472
(707) 829-5778
1407980881DR. GEETINDER KAUR CHATTHA M.D.
Individual
Dermatology (Procedural Dermatology)7064 CORLINE CT BLDG C
SEBASTOPOL, CA 95472
(707) 829-5778
1841412046AMITABHA MEDICAL CLINIC & HEALING CENTER
Organization
Clinic/Center7064 CORLINE CT SUITE A
SEBASTOPOL, CA 95472
(707) 829-5900
1225247729DR. ISAAC GABRIEL ELIAZ MD
Individual
Preventive Medicine (Public Health & General Preventive Medicine)7064 CORLINE CT SUITE A
SEBASTOPOL, CA 95472
(707) 829-5900
1750616512NORTH COAST FACULTY MEDICAL GROUP INC
Organization
Otolaryngology7064 CORLINE CT B3
SEBASTOPOL, CA 95472
(707) 276-7920
1346544525ADVANCED SKIN CARE AND DERMATOLOGY PHYSICIANS OF NORTHERN CALIFORNIA,
Organization
Dermatology7064 CORLINE CT SUITE C
SEBASTOPOL, CA 95472
(707) 829-5778
1407198005PRECISION DERMATOLOGY, INC.
Organization
Dermatology7064 CORLINE CT SUITE C
SEBASTOPOL, CA 95472
(415) 202-1540
1245618453 KATHLEEN BRANNAN BROWN NP
Individual
Nurse Practitioner (Family)7064 CORLINE CT SUITE C1
SEBASTOPOL, CA 95472
(707) 595-0992

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821283987, enumerated in the NPI registry as an "organization" on September 12, 2007

The provider is located at 7064 Corline Ct Suite A Sebastopol, Ca 95472 and the phone number is (707) 829-5900

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.

This NPI record was last updated on September 12, 2007. 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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