BOBBY PEZESHKI MD INC
NPI 1164999215
Clinic/Center - Multi-Specialty in Los Angeles, CA

NPI Status: Active since October 26, 2018

Contact Information

2011 WILSHIRE BLVD STE 300
LOS ANGELES, CA
ZIP 90057
Phone: (213) 413-2700
Fax: (213) 413-6722

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 05D2165515
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-29-2027

About BOBBY PEZESHKI MD INC

This page provides the complete NPI Profile along with additional information for Bobby Pezeshki Md Inc, a provider established in Los Angeles, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1164999215 assigned on October 2018. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Dr. Babak Pezeshki Md (Ceo/medical Director)

NPI
1164999215
Provider Name
BOBBY PEZESHKI MD INC
Entity Type
Organization
Location Address
2011 WILSHIRE BLVD STE 300 LOS ANGELES, CA 90057
Location Phone
(213) 413-2700
Location Fax
(213) 413-6722
Mailing Address
2007 WILSHIRE BLVD STE 300 LOS ANGELES, CA 90057
Mailing Phone
(213) 413-2700
Mailing Fax
(213) 413-6722
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-26-2018
Last Update Date
11-15-2018
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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

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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. BABAK PEZESHKI MD

Authorized Official Title
CEO/MEDICAL DIRECTOR
Authorized Official Phone
(213) 413-2700

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
05D2165515
Facility Type
Community Clinic
Certificate Effective Date
April 30, 2025
Certificate Expiration Date
April 29, 2027
Laboratory Director
BABAK PEZESHKI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bobby Pezeshki Md 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 1164999215, 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
9
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
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 6 → 12 → 3 9 → 18 → 9 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 8 + 9 + 1 + 8 + 2 + 2 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1164999215.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner (Family)
2011 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90057
Midwife
2011 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90057
Physician Assistant (Medical)
2011 WILSHIRE BLVD STE 300
LOS ANGELES, CA 90057

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164999215, enumerated as an "organization" on October 26, 2018.

The provider is located at 2011 WILSHIRE BLVD STE 300 LOS ANGELES, CA 90057 and the phone number is (213) 413-2700.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.