VENTANA HEALTH AND MEDICAL CENTER
NPI 1215376496
Internal Medicine in Pismo Beach, CA
NPI Status: Active since June 20, 2013
Contact Information
901 OAK PARK BLVD
SUITE 101
PISMO BEACH, CA
ZIP 93449
Phone: (805) 489-2205
- Organization
- Internal Medicine
- CLIA Number: 05D2164485
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 04-04-2027
About VENTANA HEALTH AND MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Ventana Health And Medical Center, an internist established in Pismo Beach, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1215376496 assigned on June 2013. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 10 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 Ventana Health And Medical Center. The authorized official of this NPI record is Mr. Jeff Koury (Svp Regional Operations; Tenet)
- NPI
- 1215376496
- Provider Legal Name
- FIRST CHOICE PHYSICIAN PARTNERS
- Other Organization Name
- VENTANA HEALTH AND MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 901 OAK PARK BLVD SUITE 101 PISMO BEACH, CA 93449
- Location Phone
- (805) 489-2205
- Mailing Address
- PO BOX 748263 LOS ANGELES, CA 90074
- Mailing Phone
- (805) 489-2205
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-20-2013
- Last Update Date
- 06-06-2016
- Code Navigator
An internist like Ventana Health And Medical Center is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.
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
- 05D2164485
- Facility Type
- Community Clinic
- Certificate Effective Date
- April 05, 2025
- Certificate Expiration Date
- April 04, 2027
- Laboratory Director
- MELVIN LOPEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Ventana Health And Medical Center 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 1215376496, we treat the final digit (6) 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
PISMO BEACH, CA 93449
PISMO BEACH, CA 93449
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215376496, enumerated as an "organization" on June 20, 2013.
The provider is located at 901 OAK PARK BLVD SUITE 101 PISMO BEACH, CA 93449 and the phone number is (805) 489-2205.
Internal Medicine with taxonomy code 207R00000X.
