GENESIS COMPREHENSIVE MEDICAL GROUP
NPI 1023559697
Family Medicine - Addiction Medicine in Burbank, CA
NPI Status: Active since March 16, 2017
Contact Information
191 S BUENA VISTA ST STE 335
BURBANK, CA
ZIP 91505
Phone: (818) 561-4733
- Organization
- Family Medicine
- Addiction Medicine
- CLIA Number: 05D2248812
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-17-2026
About GENESIS COMPREHENSIVE MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Genesis Comprehensive Medical Group, a provider established in Burbank, California operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1023559697 assigned on March 2017. The practitioner's primary taxonomy code is 207QA0401X with license number A74169 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Kamron Kenneth Hakhamimi M.d. (Medical Director)
- NPI
- 1023559697
- Provider Name
- GENESIS COMPREHENSIVE MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 191 S BUENA VISTA ST STE 335 BURBANK, CA 91505
- Location Phone
- (818) 561-4733
- Mailing Address
- 191 S BUENA VISTA ST STE 335 BURBANK, CA 91505
- Mailing Phone
- (818) 561-4733
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-16-2017
- Last Update Date
- 10-14-2020
- Code Navigator
Location Map
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
Family Medicine Addiction Medicine
- Taxonomy Code
- 207QA0401X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A74169
- License State
- CA
- Taxonomy Description
- A family medicine physician who specializes in the diagnosis and treatment of addictions.
Group Taxonomy 193400000X MULTIPLE 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.
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 this NPI number is:
- CLIA Number
- 05D2248812
- Facility Type
- Physician Office
- Certificate Effective Date
- January 18, 2024
- Certificate Expiration Date
- January 17, 2026
- Laboratory Director
- KAMRON HAKHAMIMI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Genesis Comprehensive Medical 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.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1023559697, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
BURBANK, CA 91505
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1023559697, enumerated as an "organization" on March 16, 2017.
The provider is located at 191 S BUENA VISTA ST STE 335 BURBANK, CA 91505 and the phone number is (818) 561-4733.
Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.
