SAN CRISTOBAL MEDICAL GROUP, INC
NPI 1033436464
Pain Medicine - Interventional Pain Medicine in Los Angeles, CA

NPI Status: Active since April 25, 2010

Contact Information

1127 WILSHIRE BLVD
STE 820
LOS ANGELES, CA
ZIP 90017
Phone: (213) 413-4203

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  • Organization
  • Pain Medicine
  • Interventional Pain Medicine
  • CLIA Number: 05D1024798
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-27-2026

About SAN CRISTOBAL MEDICAL GROUP, INC

This page provides the complete NPI Profile along with additional information for San Cristobal Medical Group, Inc, a provider established in Los Angeles, California operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1033436464 assigned on April 2010. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated 16 years ago. San Cristobal Medical Group, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Ernesto Y Casillas Md (Medical Director)

NPI
1033436464
Provider Name
SAN CRISTOBAL MEDICAL GROUP, INC
Entity Type
Organization
Location Address
1127 WILSHIRE BLVD STE 820 LOS ANGELES, CA 90017
Location Phone
(213) 413-4203
Mailing Address
1127 WILSHIRE BLVD STE 820 LOS ANGELES, CA 90017
Mailing Phone
(213) 413-4203
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-25-2010
Last Update Date
04-25-2010
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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

Pain Medicine Interventional Pain Medicine

Taxonomy Code
208VP0014X
Type
Allopathic & Osteopathic Physicians
License State
CA
Taxonomy Description
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. ERNESTO Y CASILLAS MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(213) 413-4203

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
05D1024798
Facility Type
Physician Office
Certificate Effective Date
July 28, 2024
Certificate Expiration Date
July 27, 2026
Laboratory Director
PARVIZ BABALAVI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Cristobal Medical Group, Inc 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 1033436464, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
3
Doubled → 6
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
3
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 3 → 6 4 → 8 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 6 + 3 + 8 + 3 + 1 + 2 + 4 + 1 + 2 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1033436464.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Clinic/Center (Community Health)
1127 WILSHIRE BLVD, SUITE 1000
LOS ANGELES, CA 90017
Otolaryngology (Plastic Surgery within the Head & Neck)
1127 WILSHIRE BLVD, SUITE 1604
LOS ANGELES, CA 90017
General Practice
1127 WILSHIRE BLVD, # 1509
LOS ANGELES, CA 90017
Psychiatry & Neurology (Geriatric Psychiatry)
1127 WILSHIRE BLVD, SUITE 500
LOS ANGELES, CA 90017
Dentist (Periodontics)
1127 WILSHIRE BLVD, SUITE #1110
LOS ANGELES, CA 90017
Dentist (Oral and Maxillofacial Surgery)
1127 WILSHIRE BLVD, SUITE 1510
LOS ANGELES, CA 90017
Audiologist-Hearing Aid Fitter
1127 WILSHIRE BLVD, SUITE 901
LOS ANGELES, CA 90017
Dentist (Periodontics)
1127 WILSHIRE BLVD, SUITE 404
LOS ANGELES, CA 90017
Dentist (General Practice)
1127 WILSHIRE BLVD, SUITE 1103
LOS ANGELES, CA 90017
Specialist
1127 WILSHIRE BLVD, SUITE 507
LOS ANGELES, CA 90017
Obstetrics & Gynecology
1127 WILSHIRE BLVD, SUITE#800
LOS ANGELES, CA 90017
Obstetrics & Gynecology
1127 WILSHIRE BLVD, SUITE 800
LOS ANGELES, CA 90017
Internal Medicine
1127 WILSHIRE BLVD, SUITE 1100
LOS ANGELES, CA 90017
Physical Therapist
1127 WILSHIRE BLVD, #909
LOS ANGELES, CA 90017
Psychologist (Clinical)
1127 WILSHIRE BLVD, SUITE 510
LOS ANGELES, CA 90017
Otolaryngology
1127 WILSHIRE BLVD, SUITE 1206
LOS ANGELES, CA 90017
Dentist (General Practice)
1127 WILSHIRE BLVD, SUITE 1200
LOS ANGELES, CA 90017
Obstetrics & Gynecology (Reproductive Endocrinology)
1127 WILSHIRE BLVD, SUITE 1400
LOS ANGELES, CA 90017
Chiropractor
1127 WILSHIRE BLVD, SUITE 1216
LOS ANGELES, CA 90017
Clinic/Center (Ambulatory Fertility Facility)
1127 WILSHIRE BLVD, STE. 1410
LOS ANGELES, CA 90017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033436464, enumerated as an "organization" on April 25, 2010.

The provider is located at 1127 WILSHIRE BLVD STE 820 LOS ANGELES, CA 90017 and the phone number is (213) 413-4203.

Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.