KENNETH C WALLIS M.D.
NPI 1649243692
Psychiatry & Neurology, Psychiatry in Davis,


Quality Rating: 100 out of 100 score

NPI Status: Active since February 9, 2006

Contact Information

1260 Lake Blvd
Davis,
Post Code: 95616
Phone: (530) 771-2308
Fax: (530) 771-2309

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Kenneth C Wallis M.d. in Davis - Psychiatry & Neurology, Psychiatry

Kenneth C Wallis M.d. is a Psychiatry & Neurology, Psychiatry in Davis, . Kenneth C Wallis M.d. practices all healthcare services and medical treatments related to Psychiatry & Neurology, Psychiatry. The NPI Number for Kenneth C Wallis M.d. is 1649243692. The last update date is 2021-07-09.

Kenneth C Wallis M.d.'s current location address is 1260 Lake Blvd, Davis, . You can contact this provider via phone number (530) 771-2308 and fax number (530) 771-2309. The mailing address for Kenneth C Wallis M.d. is 1260 Lake Blvd, Davis, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1649243692
Provider Name
KENNETH C WALLIS M.D.
Gender
Male
Entity Type
Individual
Location Address
1260 Lake Blvd, Davis,
Location Phone
(530) 771-2308
Location Fax
(530) 771-2309
Mailing Address
1260 Lake Blvd, Davis, California(CA)
Mailing Phone
530-771-2308
Mailing Fax
530-771-2309
Enumeration Date
2006-02-09
Last Update Date
2021-07-09
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

Psychiatry & Neurology, Psychiatry

Taxonomy Code
2084P0800X
Type
-
License No.
811674181205
License State
Utah (UT)
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 2084P0800X Psychiatry Physician

Psychiatry & Neurology, Psychiatry

C-41960 (California)

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
107005564101 Other (non-Medicare) (01) Utah (UT) Intrmtn. Health Care
261795 Other (non-Medicare) (01) Utah (UT) Deseret Mutual
942938348WA1 Other (non-Medicare) (01) Utah (UT) Educators Mutual

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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.
1649243692
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2689446618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 2689446618
2 + 6 + 8 + 9 + 4 + 4 + 6 + 6 + 1 + 8 + 24 = 78
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 78 = 2 2

The NPI number 1649243692 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

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

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1023011178 COLLABRIA CARE
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Organization
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Organization
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LOS ANGELES, California (CA)
323-957-9446
1467455410 GEORGE JOHN STRATIGOPOULOS
Individual
Dentist, General Practice 4808 CLAIREMONT MESA BLVD
SAN DIEGO, California (CA)
858-277-7200
1215930250 KIMBERLY ANN PAGE
Individual
Neurological Surgery 1388 COURT ST
REDDING, California (CA)
530-246-2207
1134122179 EDEN MEDICAL CENTER
Organization
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510-537-1234