PETER M. MAZZARESE P.A.
NPI 1124099387
Physician Assistant in San Diego,


Quality Rating: 100 out of 100 score

NPI Status: Active since January 27, 2006

Contact Information

5555 Reservoir Dr Ste 203
San Diego,
Post Code: 92120
Phone: (619) 229-3340
Fax: (619) 229-3341

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Peter M. Mazzarese P.a. in San Diego - Physician Assistant

Peter M. Mazzarese P.a. is a Physician Assistant in San Diego, . Peter M. Mazzarese P.a. practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Peter M. Mazzarese P.a. is 1124099387. The last update date is 2021-12-13.

Peter M. Mazzarese P.a.'s current location address is 5555 Reservoir Dr Ste 203, San Diego, . You can contact this provider via phone number (619) 229-3340 and fax number (619) 229-3341. The mailing address for Peter M. Mazzarese P.a. is 5555 Reservoir Dr Ste 203, San Diego, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1124099387
Provider Name
PETER M. MAZZARESE P.A.
Gender
Male
Entity Type
Individual
Location Address
5555 Reservoir Dr Ste 203, San Diego,
Location Phone
(619) 229-3340
Location Fax
(619) 229-3341
Mailing Address
5555 Reservoir Dr Ste 203, San Diego, California(CA)
Mailing Phone
619-229-3340
Mailing Fax
619-229-3341
Enumeration Date
2006-01-27
Last Update Date
2021-12-13
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

Physician Assistant

Taxonomy Code
363A00000X
Type
-
License No.
PA16565
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
PA16565 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.
1124099387
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21440918316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 21440918316
2 + 1 + 4 + 4 + 0 + 9 + 1 + 8 + 3 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 7 7

The NPI number 1124099387 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 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023011178 COLLABRIA CARE
PROVIDENCE PALLIATIVE CARE NAPA VALLEY
Organization
Hospice Care, Community Based 414 S JEFFERSON ST
NAPA, California (CA)
707-258-9080
1023011053 VINE DISCOUNT PHARMACY & MEDICAL SUPPLY
VINE DISCOUNT PHARMACY & MEDICAL SUPPLY
Organization
Pharmacy, Specialty Pharmacy 1253 N VINE ST
LOS ANGELES, California (CA)
323-957-9446
1043213242 CARL WAGREICH
Individual
Podiatrist, Foot & Ankle Surgery 23451 MADISON ST
TORRANCE, California (CA)
310-373-0521
1063415065 DUANE THOMAS BROOKS
Individual
Optometrist 110 CHESTNUT ST
MOUNT SHASTA, California (CA)
530-926-2033
1124021118 LESLIE C. CHOW
Individual
Dentist, General Practice 1250 HERCULES AVE
HERCULES, California (CA)
510-727-5375