GREEN PEACE MEDICAL GROUP
NPI 1003801648
Family Medicine in San Gabriel,


Quality Rating: 100 out of 100 score

NPI Status: Active since September 20, 2005

Contact Information

330 W Las Tunas Dr
San Gabriel,
Post Code: 91776
Phone: (626) 573-0055
Fax: (626) 573-4087

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Green Peace Medical Group in San Gabriel - Family Medicine

Green Peace Medical Group is a Family Medicine in San Gabriel, . Green Peace Medical Group practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Green Peace Medical Group is 1003801648. The last update date is 2008-06-16.

Green Peace Medical Group's current location address is 330 W Las Tunas Dr, San Gabriel, . You can contact this provider via phone number (626) 573-0055 and fax number (626) 573-4087. The mailing address for Green Peace Medical Group is 330 W Las Tunas Dr, San Gabriel, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003801648
Provider Legal Name
GREEN PEACE MEDICAL GROUP
Other Organization Name
GREEN PEACE MEDICAL GROUP
Other Name Type
-
Entity Type
Organization
Location Address
330 W Las Tunas Dr, San Gabriel,
Location Phone
(626) 573-0055
Location Fax
(626) 573-4087
Mailing Address
330 W Las Tunas Dr, San Gabriel, California(CA)
Mailing Phone
626-573-0055
Mailing Fax
626-573-4087
Enumeration Date
2005-09-20
Last Update Date
2008-06-16
Code Navigator

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

Family Medicine

Taxonomy Code
207Q00000X
Type
-
License No.
A33409
License State
California (CA)
Taxonomy Description
-

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
GR0091430 MEDICAID (05) California (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.
1003801648
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003160268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2003160268
2 + 0 + 0 + 3 + 1 + 6 + 0 + 2 + 6 + 8 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 8 8

The NPI number 1003801648 is valid because the calculated check digit 8 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
1003801556 JOSEPH J DOMINGUEZ
Individual
Anesthesiology PO BOX 660877
SACRAMENTO, California (CA)
916-481-6800
1003801457 F VICTORIA DICICCO
Individual
Psychologist, Clinical 5190 GOVERNOR DR
SAN DIEGO, California (CA)
858-452-5800
1003801390 KAZEM SEYED
Individual
Family Medicine 750 E LATHAM AVE
HEMET, California (CA)
951-766-6696
1003801358 RAMIN KHASHAYAR
Individual
Internal Medicine, Critical Care Medicine 1399 YGNACIO VALLEY RD
WALNUT CREEK, California (CA)
925-939-3050
1003801267 WILFRED DERKSEN
Individual
Pediatrics PO BOX 28900
FRESNO, California (CA)
559-228-4205