ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.
NPI 1104818715
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Los Angeles, CA

NPI Status: Active since August 19, 2005

Contact Information

1245 WILSHIRE BLVD
SUITE 606
LOS ANGELES, CA
ZIP 90017
Phone: (213) 483-1055
Fax: (213) 483-1418

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About ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Advanced Cardiothoracic Surgery Medical Group, Inc., a provider established in Los Angeles, California operating as a Thoracic Surgery (cardiothoracic Vascular Surgery). The healthcare provider is registered in the NPI registry with number 1104818715 assigned on August 2005. The practitioner's primary taxonomy code is 208G00000X with license number G72926 (CA). The provider is registered as an organization and their NPI record was last updated 15 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 Ali Gheissari M.d. (President)

NPI
1104818715
Provider Name
ADVANCED CARDIOTHORACIC SURGERY MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
1245 WILSHIRE BLVD SUITE 606 LOS ANGELES, CA 90017
Location Phone
(213) 483-1055
Location Fax
(213) 483-1418
Mailing Address
1245 WILSHIRE BLVD SUITE 606 LOS ANGELES, CA 90017
Mailing Phone
(213) 483-1055
Mailing Fax
(213) 483-1418
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2005
Last Update Date
09-29-2011
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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

Thoracic Surgery (Cardiothoracic Vascular Surgery)

Taxonomy Code
208G00000X
Type
Allopathic & Osteopathic Physicians
License No.
G72926
License State
CA
Taxonomy Description
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

ALI GHEISSARI M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(213) 483-1055

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
W16644MEDICARE ID-TYPE UNSPECIFIED (04)CA 

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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 1104818715, we treat the final digit (5) 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 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).

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
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
5
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 0 → 0 8 → 16 → 7 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 0 + 4 + 1 + 6 + 1 + 1 + 6 + 7 + 2 + 24 = 55

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

The next multiple of ten after 55 is 60. The difference is the calculated check digit.

60 - 55 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104818715.

Other Providers at the Same Location


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

Internal Medicine
1245 WILSHIRE BLVD, STE 804
LOS ANGELES, CA 90017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1245 WILSHIRE BLVD, SUITE 606
LOS ANGELES, CA 90017
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1245 WILSHIRE BLVD, SUITE 606
LOS ANGELES, CA 90017
Physician Assistant
1245 WILSHIRE BLVD, SUITE 606
LOS ANGELES, CA 90017
Specialist
1245 WILSHIRE BLVD, STE 703
LOS ANGELES, CA 90017
Specialist
1245 WILSHIRE BLVD, SUITE 514
LOS ANGELES, CA 90017
Specialist
1245 WILSHIRE BLVD, SUITE #403
LOS ANGELES, CA 90017
Internal Medicine
1245 WILSHIRE BLVD, STE 307
LOS ANGELES, CA 90017
Internal Medicine (Interventional Cardiology)
1245 WILSHIRE BLVD, SUITE 703
LOS ANGELES, CA 90017
Specialist
1245 WILSHIRE BLVD, STE 703
LOS ANGELES, CA 90017
Physical Medicine & Rehabilitation (Pain Medicine)
1245 WILSHIRE BLVD, SUITE 403
LOS ANGELES, CA 90017
Otolaryngology
1245 WILSHIRE BLVD, SUITE 603
LOS ANGELES, CA 90017
Urology
1245 WILSHIRE BLVD, SUITE 408
LOS ANGELES, CA 90017
Otolaryngology
1245 WILSHIRE BLVD
LOS ANGELES, CA 90017
Otolaryngology
1245 WILSHIRE BLVD
LOS ANGELES, CA 90017
Neurological Surgery
1245 WILSHIRE BLVD, SUITE 717
LOS ANGELES, CA 90017
Surgery
1245 WILSHIRE BLVD, SUITE 905
LOS ANGELES, CA 90017
Surgery
1245 WILSHIRE BLVD, SUITE 905
LOS ANGELES, CA 90017
Physician Assistant (Surgical)
1245 WILSHIRE BLVD, #200
LOS ANGELES, CA 90017
Internal Medicine (Infectious Disease)
1245 WILSHIRE BLVD, 501
LOS ANGELES, CA 90017

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104818715, enumerated as an "organization" on August 19, 2005.

The provider is located at 1245 WILSHIRE BLVD SUITE 606 LOS ANGELES, CA 90017 and the phone number is (213) 483-1055.

Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.