WEST BEVERLY PODIATRY GROUP NPI 1003023458

Podiatrist in Los Angeles, CA

NPI 1003023458 Organization Podiatrist CLIA Number 05D0861114 CLIA Certificate of Waiver

NPI Profile for WEST BEVERLY PODIATRY GROUP

West Beverly Podiatry Group is a provider established in Los Angeles, California specializing in podiatrist. The NPI number of West Beverly Podiatry Group is 1003023458 and was assigned on May 2007. The practitioner's primary taxonomy code is 213E00000X with license number E3948 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. West Beverly Podiatry Group operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Ross A Berliner Dpm (Podiatrist)

A podiatrist like West Beverly Podiatry Group provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

The CLIA number of West Beverly Podiatry Group is 05D0861114 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to West Beverly Podiatry Group to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI

1003023458

Provider NameWEST BEVERLY PODIATRY GROUP
Provider Location Address3545 GRIFFITH PARK BLVD LOS ANGELES, CA 90027
Provider Mailing Address1601 W BEVERLY BLVD MONTEBELLO, CA 90640
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date05-16-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code213E00000X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
License No.E3948
License StateCA
Taxonomy DescriptionA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Business Address

WEST BEVERLY PODIATRY GROUP
3545 GRIFFITH PARK BLVD
LOS ANGELES, CA
ZIP 90027
Phone: (323) 664-4331
Fax: (323) 664-4331

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Mailing Address

WEST BEVERLY PODIATRY GROUP
1601 W BEVERLY BLVD
MONTEBELLO, CA
ZIP 90640
Phone: (323) 721-6026
Fax: (626) 887-1891



Authorized Official

Authorized Official NameDR. ROSS A BERLINER DPM
Authorized Official TitlePODIATRIST
Authorized Official Phone(323) 721-6026

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1003023458 is:

CLIA Number05D0861114
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Validation Check Digit Calculation


The following table explains step by step the 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.
1003023458
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003026410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 2 + 6 + 4 + 1 + 0 + 24 = 42
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 42 = 88

The NPI number 1003023458 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1659418747ROSS BERLINER, DPM, INC
Organization
Podiatrist (Primary Podiatric Medicine)3545 GRIFFITH PARK BLVD
LOS ANGELES, CA 90027
(323) 664-4331

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
West Beverly Podiatry Group is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.