EAST SIDE PATHOLOGY ASSOCIATES MEDICAL GROUP, INC.
NPI 1184618878
Pathology - Anatomic Pathology & Clinical Pathology in Los Angeles, CA

NPI Status: Active since September 08, 2005

Contact Information

5240 E BEVERLY BLVD
LOS ANGELES, CA
ZIP 90022
Phone: (626) 307-7875
Fax: (626) 307-7875

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  • Organization
  • Pathology
  • Anatomic Pathology & Clinical Pathology
  • CLIA Number: 05D0861739
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About EAST SIDE PATHOLOGY ASSOCIATES MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for East Side Pathology Associates Medical Group, Inc., a provider established in Los Angeles, California operating as a Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1184618878 assigned on September 2005. The practitioner's primary taxonomy code is 207ZP0102X. The provider is registered as an organization and their NPI record was last updated 12 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 Moises R Zepeda M.d. (President)

NPI
1184618878
Provider Name
EAST SIDE PATHOLOGY ASSOCIATES MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
5240 E BEVERLY BLVD LOS ANGELES, CA 90022
Location Phone
(626) 307-7875
Location Fax
(626) 307-7875
Mailing Address
5240 E BEVERLY BLVD LOS ANGELES, CA 90022
Mailing Phone
(626) 307-7875
Mailing Fax
(626) 307-7875
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-08-2005
Last Update Date
04-27-2014
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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

Pathology Anatomic Pathology & Clinical Pathology

Taxonomy Code
207ZP0102X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

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

MOISES R ZEPEDA M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(626) 307-7875

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
05D0861739
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MIGUEL E. RODRIGUEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to East Side Pathology Associates Medical Group, 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 1184618878, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
6
Doubled → 12 → 1 + 2
Pos 6
1
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
8
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 6 → 12 → 3 8 → 16 → 7 7 → 14 → 5

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 + 1 + 2 + 1 + 1 + 6 + 8 + 1 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1184618878.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Pathology (Anatomic Pathology & Clinical Pathology)
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022
Counselor (Addiction (Substance Use Disorder))
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022
Marriage & Family Therapist
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022
Counselor (Addiction (Substance Use Disorder))
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022
Counselor (Addiction (Substance Use Disorder))
5240 E BEVERLY BLVD
EAST LOS ANGELES, CA 90022
Counselor (Addiction (Substance Use Disorder))
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022
Pathology (Anatomic Pathology & Clinical Pathology)
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022
Pathology (Anatomic Pathology & Clinical Pathology)
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022
Nurse Practitioner (Family)
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022
Obstetrics & Gynecology
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022
Clinic/Center
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022
Counselor (Addiction (Substance Use Disorder))
5240 E BEVERLY BLVD
LOS ANGELES, CA 90022

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184618878, enumerated as an "organization" on September 08, 2005.

The provider is located at 5240 E BEVERLY BLVD LOS ANGELES, CA 90022 and the phone number is (626) 307-7875.

Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.