RANDALL S FORTUNA MD
NPI 1285607986
Surgery, Vascular Surgery in Loma Linda,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 12, 2006

Contact Information

11175 Campus St Rm 21121
Loma Linda,
Post Code: 92350
Phone: (095) 585-9599
Fax: (909) 558-0348

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Randall S Fortuna Md in Loma Linda - Surgery, Vascular Surgery

Randall S Fortuna Md is a Surgery, Vascular Surgery in Loma Linda, . Randall S Fortuna Md practices all healthcare services and medical treatments related to Surgery, Vascular Surgery. The NPI Number for Randall S Fortuna Md is 1285607986. The last update date is 2023-10-31.

Randall S Fortuna Md's current location address is 11175 Campus St Rm 21121, Loma Linda, . You can contact this provider via phone number (095) 585-9599 and fax number (909) 558-0348. The mailing address for Randall S Fortuna Md is 11175 Campus St Rm 21121, Loma Linda, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1285607986
Provider Name
RANDALL S FORTUNA MD
Gender
Male
Entity Type
Individual
Location Address
11175 Campus St Rm 21121, Loma Linda,
Location Phone
(095) 585-9599
Location Fax
(909) 558-0348
Mailing Address
11234 Anderson St # 7100, Loma Linda, California(CA)
Mailing Phone
909-558-4200
Mailing Fax
909-558-2401
Enumeration Date
2006-02-12
Last Update Date
2023-10-31
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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
-
License No.
A68643
License State
California (CA)
Taxonomy Description
-

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 2086S0129X Vascular Surgery Physician

Surgery, Vascular Surgery

036109764 (Illinois)
2 2086S0129X Vascular Surgery Physician

Surgery, Vascular Surgery

036-109764 (Illinois)
3 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Thoracic Surgery (Cardiothoracic Vascular Surgery)

036109764 (Illinois)
4 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Thoracic Surgery (Cardiothoracic Vascular Surgery)

49534 (Arizona)

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
036109764 MEDICAID (05) Illinois (IL)
07215075 Other (non-Medicare) (01) Illinois (IL) BLUE SHIELD PROVIDER NUMB
934932 MEDICAID (05) Arizona (AZ)
IL0138 Other (non-Medicare) (01) Illinois (IL) John Deere
P00038024/CA5138 Other (non-Medicare) (01) Illinois (IL) Railroad Medicare

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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.
1285607986
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2216512014916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2216512014916
2 + 2 + 1 + 6 + 5 + 1 + 2 + 0 + 1 + 4 + 9 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 6 6

The NPI number 1285607986 is valid because the calculated check digit 6 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
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Organization
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VINE DISCOUNT PHARMACY & MEDICAL SUPPLY
Organization
Pharmacy, Specialty Pharmacy 1253 N VINE ST
LOS ANGELES, California (CA)
323-957-9446
1215930250 KIMBERLY ANN PAGE
Individual
Neurological Surgery 1388 COURT ST
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530-246-2207
1134122179 EDEN MEDICAL CENTER
Organization
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CASTRO VALLEY, California (CA)
510-537-1234
1275536294 METROPOLITAN PAIN MANAGEMENT CONSULTANTS, INC
Organization
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SACRAMENTO, California (CA)
916-568-8338