ACTIVE PHYSICAL MEDICINE
NPI 1972977643
Physician Assistant in Rancho Cucamonga, CA

NPI Status: Active since November 18, 2015

Contact Information

7890 HAVEN AVE
SUITE 1
RANCHO CUCAMONGA, CA
ZIP 91730
Phone: (909) 581-3051

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  • Organization
  • Physician Assistant

About ACTIVE PHYSICAL MEDICINE

This page provides the complete NPI Profile along with additional information for Active Physical Medicine, a primary care provider established in Rancho Cucamonga, California operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1972977643 assigned on November 2015. The practitioner's primary taxonomy code is 363A00000X with license number PA15220 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. Active Physical Medicine 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 Active Physical Medicine. The authorized official of this NPI record is Mrs. Sabrina Rice Hanson (Office Manager)

NPI
1972977643
Provider Legal Name
SINDY TADROS MEDICAL PC
Other Organization Name
ACTIVE PHYSICAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7890 HAVEN AVE SUITE 1 RANCHO CUCAMONGA, CA 91730
Location Phone
(909) 581-3051
Mailing Address
7890 HAVEN AVE SUITE 1 RANCHO CUCAMONGA, CA 91730
Mailing Phone
(909) 581-3051
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-18-2015
Last Update Date
11-18-2015
Code Navigator

A primary care provider (PCP) like Active Physical Medicine sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA15220
License State
CA
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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.

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

MRS. SABRINA RICE HANSON

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(909) 581-3051

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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.
1972977643
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291421871468
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 1 + 8 + 7 + 1 + 4 + 6 + 8 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1972977643 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417265307 JENNIFER FRANCO C.N.
Individual
Nutritionist7890 HAVEN AVE SUITE 1
RANCHO CUCAMONGA, CA 91730
(909) 581-3051
1285993980 JERI LYNNE GELERIS F.N.P.
Individual
Nurse Practitioner (Family)7890 HAVEN AVE STE 1
RANCHO CUCAMONGA, CA 91730
(909) 581-3051
1306184114CERTIFIED HANDS MASSAGE THERAPY
Organization
Specialist7890 HAVEN AVE SUITE 1
RANCHO CUCAMONGA, CA 91730
(800) 680-5636
1659651677ACTIVE PHYSICAL MEDICINE
Organization
Chiropractor7890 HAVEN AVE SUITE 1
RANCHO CUCAMONGA, CA 91730
(619) 265-0291
1790150886PS AHUJA DENTAL CORP
Organization
Clinic/Center (Dental)7890 HAVEN AVE SUITE # 3
RANCHO CUCAMONGA, CA 91730
(909) 484-2505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972977643, enumerated in the NPI registry as an "organization" on November 18, 2015

The provider is located at 7890 Haven Ave Suite 1 Rancho Cucamonga, Ca 91730 and the phone number is (909) 581-3051

This medical organization specializes in Physician Assistant with taxonomy code 363A00000X

This NPI record was last updated on November 18, 2015. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.