BETH MEDICAL CLINIC
NPI 1104984137
Legal Medicine in Los Angeles, CA

NPI Status: Active since December 04, 2006

Contact Information

11126 S MAIN ST
LOS ANGELES, CA
ZIP 90061
Phone: (323) 779-8398
Fax: (323) 779-8493

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  • Organization
  • Legal Medicine

About BETH MEDICAL CLINIC

This page provides the complete NPI Profile along with additional information for Beth Medical Clinic, a provider established in Los Angeles, California operating as a Legal Medicine. The healthcare provider is registered in the NPI registry with number 1104984137 assigned on December 2006. The practitioner's primary taxonomy code is 173000000X with license number A46478 (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 Emmanuel A Ayodele Md (Medical Doctor)

NPI
1104984137
Provider Name
BETH MEDICAL CLINIC
Entity Type
Organization
Location Address
11126 S MAIN ST LOS ANGELES, CA 90061
Location Phone
(323) 779-8398
Location Fax
(323) 779-8493
Mailing Address
11126 S MAIN ST LOS ANGELES, CA 90061
Mailing Phone
(323) 779-8398
Mailing Fax
(323) 779-8493
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-04-2006
Last Update Date
08-22-2020
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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

Legal Medicine

Taxonomy Code
173000000X
Type
Other Service Providers
License No.
A46478
License State
CA
Taxonomy Description
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

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

EMMANUEL A AYODELE MD

Authorized Official Title
MEDICAL DOCTOR
Authorized Official Phone
(323) 779-8398

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
00A464780MEDICAID (05)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 1104984137, 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 9 → 18 → 9 4 → 8 3 → 6

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 + 8 + 8 + 8 + 1 + 6 + 24 = 63

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.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1104984137.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

General Practice
11126 S MAIN ST
LOS ANGELES, CA 90061
Clinic/Center (Primary Care)
11126 S MAIN ST
LOS ANGELES, CA 90061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104984137, enumerated as an "organization" on December 04, 2006.

The provider is located at 11126 S MAIN ST LOS ANGELES, CA 90061 and the phone number is (323) 779-8398.

Legal Medicine with taxonomy code 173000000X.

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