VALERIA KOZAK, M. D.
NPI 1114153582
Specialist in Tustin, CA

NPI Status: Active since May 29, 2009

Contact Information

14642 NEWPORT AVE
SUITE 410
TUSTIN, CA
ZIP 92780
Phone: (714) 838-0022
Fax: (714) 838-0060

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  • Organization
  • Specialist
  • CLIA Number: 05D1098803
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-27-2027

About VALERIA KOZAK, M. D.

This page provides the complete NPI Profile along with additional information for Valeria Kozak, M. D., a provider established in Tustin, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1114153582 assigned on May 2009. The practitioner's primary taxonomy code is 174400000X with license number A89502 (CA). The provider is registered as an organization and their NPI record was last updated 17 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 provider's is doing business as Valeria Kozak, M. D.. The authorized official of this NPI record is Dr. Valeria Kozak M. D. (Owner)

NPI
1114153582
Provider Legal Name
VIR, INC.
Other Organization Name
VALERIA KOZAK, M. D.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14642 NEWPORT AVE SUITE 410 TUSTIN, CA 92780
Location Phone
(714) 838-0022
Location Fax
(714) 838-0060
Mailing Address
14642 NEWPORT AVE SUITE 410 TUSTIN, CA 92780
Mailing Phone
(714) 838-0022
Mailing Fax
(714) 838-0060
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-29-2009
Last Update Date
05-29-2009
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
A89502
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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. VALERIA KOZAK M. D.

Authorized Official Title
OWNER
Authorized Official Phone
(714) 838-0022

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
05D1098803
Facility Type
Physician Office
Certificate Effective Date
April 28, 2025
Certificate Expiration Date
April 27, 2027
Laboratory Director
VALERIA I. KOZAK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Valeria Kozak, M. D. 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 1114153582, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 2 + 4 + 2 + 5 + 6 + 5 + 1 + 6 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1114153582.

Other Providers at the Same Location


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

Pediatrics
14642 NEWPORT AVE, SUITE 410
TUSTIN, CA 92780
Podiatrist (Foot & Ankle Surgery)
14642 NEWPORT AVE, SUITE 450
TUSTIN, CA 92780
Pediatrics
14642 NEWPORT AVE, SUITE 450
TUSTIN, CA 92780
Physical Medicine & Rehabilitation
14642 NEWPORT AVE, #310
TUSTIN, CA 92780
Internal Medicine
14642 NEWPORT AVE, STE 270
TUSTIN, CA 92780
Clinical Medical Laboratory
14642 NEWPORT AVE, SUITE 260
TUSTIN, CA 92780
Nurse Practitioner (Family)
14642 NEWPORT AVE, SUITE 200
TUSTIN, CA 92780
Physician Assistant
14642 NEWPORT AVE, STE. 330
TUSTIN, CA 92780
Exclusive Provider Organization
14642 NEWPORT AVE, SUITE 310
TUSTIN, CA 92780
Nurse Practitioner (Family)
14642 NEWPORT AVE, SUITE #200
TUSTIN, CA 92780
Podiatrist (Foot & Ankle Surgery)
14642 NEWPORT AVE, SUITE 105
TUSTIN, CA 92780
Nurse Practitioner (Family)
14642 NEWPORT AVE, SUITE 200
TUSTIN, CA 92780
Clinic/Center (Ambulatory Surgical)
14642 NEWPORT AVE, SUITE 100
TUSTIN, CA 92780
Orthopaedic Surgery
14642 NEWPORT AVE, #407
TUSTIN, CA 92780
General Practice
14642 NEWPORT AVE, SUITE 270
TUSTIN, CA 92780
Specialist
14642 NEWPORT AVE, SUITE 210
TUSTIN, CA 92780
Pharmacy (Community/Retail Pharmacy)
14642 NEWPORT AVE
TUSTIN, CA 92780
Pharmacist
14642 NEWPORT AVE
TUSTIN, CA 92780
Radiology (Radiation Oncology)
14642 NEWPORT AVE, #470
TUSTIN, CA 92780
Family Medicine
14642 NEWPORT AVE, SUITE#200
TUSTIN, CA 92780

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114153582, enumerated as an "organization" on May 29, 2009.

The provider is located at 14642 NEWPORT AVE SUITE 410 TUSTIN, CA 92780 and the phone number is (714) 838-0022.

Specialist with taxonomy code 174400000X.