Organization provider

PORT MEDICAL WELLNESS, INC.

Orthopaedic Surgery Physician Chiropractor Acupuncturist

PORT MEDICAL WELLNESS, INC. is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1104077569, based in Wilmington, CA. The organization lists 4 taxonomy classifications, with Orthopaedic Surgery Physician recorded as primary.

Getting there

The practice address on file is 512 N AVALON BLVD, Wilmington, CA 90744. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

512 N AVALON BLVD, Wilmington, CA 90744 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Orthopaedic Surgery covers

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. NUCC Health Care Provider Taxonomy, code 207X00000X
Allopathic & Osteopathic Physicians Orthopaedic Surgery

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
207X00000X Orthopaedic Surgery Physician primary
111N00000X Chiropractor
171100000X Acupuncturist
208D00000X General Practice Physician

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1104077569 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateOct 3, 2008
Last updatedOct 14, 2008
StatusActive
Practice address 512 N AVALON BLVD
Wilmington, CA 90744
(310) 816-2943
Fax (310) 816-9393
Mailing address PO BOX 128 C/O STELLA REDENSKI
Pacific Palisades, CA 90272
This record was last updated on Oct 14, 2008, roughly 17 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104077569 passes the NPI check digit test The final digit 9 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 0 7 7 5 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 0 7 5 5 3

Sum = 51 · next multiple of 10 = 60 · check digit = 9 · actual last digit = 9

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104077569?
NPI 1104077569 is the National Provider Identifier assigned to PORT MEDICAL WELLNESS, INC. in Wilmington, CA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Orthopaedic Surgery Physician cover?
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital…
How do I contact PORT MEDICAL WELLNESS, INC.?
The phone number on file with NPPES is (310) 816-2943, last updated Oct 14, 2008. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1104077569 a valid number?
Yes. 1104077569 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.