SAN JUDAS COMMUNITY HEALTH CENTER, INC.
NPI 1184134827
Clinic/Center in Los Angeles, CA

NPI Status: Active since October 09, 2017

Contact Information

1080 N WESTERN AVE
LOS ANGELES, CA
ZIP 90029
Phone: (323) 957-3737
Fax: (323) 957-3700

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  • Organization
  • Clinic/Center
  • CLIA Number: 05D0910778
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 01-20-2028

About SAN JUDAS COMMUNITY HEALTH CENTER, INC.

This page provides the complete NPI Profile along with additional information for San Judas Community Health Center, Inc., a provider established in Los Angeles, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1184134827 assigned on October 2017. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Nejat Rostami M.d. (Ceo)

NPI
1184134827
Provider Name
SAN JUDAS COMMUNITY HEALTH CENTER, INC.
Entity Type
Organization
Location Address
1080 N WESTERN AVE LOS ANGELES, CA 90029
Location Phone
(323) 957-3737
Location Fax
(323) 957-3700
Mailing Address
1080 N WESTERN AVE LOS ANGELES, CA 90029
Mailing Phone
(323) 957-3737
Mailing Fax
(323) 957-3700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-09-2017
Last Update Date
10-09-2017
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

MR. NEJAT ROSTAMI M.D.

Authorized Official Title
CEO
Authorized Official Phone
(310) 780-4674

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
05D0910778
Facility Type
Community Clinic
Certificate Effective Date
January 21, 2026
Certificate Expiration Date
January 20, 2028
Laboratory Director
NEJAT ROSTAMI
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to San Judas Community Health Center, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1184134827, 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
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
4
Doubled → 8
Pos 8
8
Unchanged
Pos 9
2
Doubled → 4
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 8 → 16 → 7 1 → 2 4 → 8 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 2 + 3 + 8 + 8 + 4 + 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 1184134827.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Specialist
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Clinical Medical Laboratory
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Internal Medicine
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Advanced Practice Midwife
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Nurse Practitioner (Family)
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Specialist
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Internal Medicine
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Nurse Practitioner (Family)
1080 N WESTERN AVE
LOS ANGELES, CA 90029
Dentist
1080 N WESTERN AVE
LOS ANGELES, CA 90029

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184134827, enumerated as an "organization" on October 09, 2017.

The provider is located at 1080 N WESTERN AVE LOS ANGELES, CA 90029 and the phone number is (323) 957-3737.

Clinic/Center with taxonomy code 261Q00000X.