PROSPECT HEALTH PLAN, INC.
NPI 1235502360
Health Maintenance Organization in Los Angeles, CA

NPI Status: Active since November 11, 2015

Contact Information

10780 SANTA MONICA BLVD
SUITE 400
LOS ANGELES, CA
ZIP 90025
Phone: (310) 943-4500

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  • Organization
  • Health Maintenance Organization

About PROSPECT HEALTH PLAN, INC.

This page provides the complete NPI Profile along with additional information for Prospect Health Plan, Inc., a provider established in Los Angeles, California operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1235502360 assigned on November 2015. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Ellen Shin (Secretary)

NPI
1235502360
Provider Name
PROSPECT HEALTH PLAN, INC.
Entity Type
Organization
Location Address
10780 SANTA MONICA BLVD SUITE 400 LOS ANGELES, CA 90025
Location Phone
(310) 943-4500
Mailing Address
10780 SANTA MONICA BLVD SUITE 400 LOS ANGELES, CA 90025
Mailing Phone
(310) 943-4500
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-11-2015
Last Update Date
11-11-2015
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

ELLEN SHIN

Authorized Official Title
SECRETARY
Authorized Official Phone
(310) 943-4500

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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 1235502360, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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
2
Unchanged
Pos 3
3
Doubled → 6
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
2
Doubled → 4
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
0
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 3 → 6 5 → 10 → 1 2 → 4 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 6 + 5 + 1 + 0 + 0 + 4 + 3 + 1 + 2 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1235502360.

Other Providers at the Same Location


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

Chiropractor
10780 SANTA MONICA BLVD, 440
LOS ANGELES, CA 90025
Psychologist
10780 SANTA MONICA BLVD, SUITE 450
LOS ANGELES, CA 90025
Chiropractor
10780 SANTA MONICA BLVD, #440
LOS ANGELES, CA 90025
Physical Medicine & Rehabilitation
10780 SANTA MONICA BLVD, SUITE 440
LOS ANGELES, CA 90025
Marriage & Family Therapist
10780 SANTA MONICA BLVD, SUITE 250
LOS ANGELES, CA 90025
Physical Therapist
10780 SANTA MONICA BLVD, SUITE 470
LOS ANGELES, CA 90025
Psychologist (Clinical)
10780 SANTA MONICA BLVD, SUITE #450
LOS ANGELES, CA 90025
Psychiatry & Neurology (Psychiatry)
10780 SANTA MONICA BLVD, SUITE 250
LOS ANGELES, CA 90025
Chiropractor (Nutrition)
10780 SANTA MONICA BLVD, #245
LOS ANGELES, CA 90025
Internal Medicine
10780 SANTA MONICA BLVD, SUITE 100
LOS ANGELES, CA 90025
Psychologist (Clinical)
10780 SANTA MONICA BLVD, SUITE 250
LOS ANGELES, CA 90025
Physical Therapist (Orthopedic)
10780 SANTA MONICA BLVD, SUITE 110
LOS ANGELES, CA 90025
Psychologist (Clinical)
10780 SANTA MONICA BLVD, #450
LOS ANGELES, CA 90025
Psychologist (Clinical)
10780 SANTA MONICA BLVD, #450
LOS ANGELES, CA 90025
Acupuncturist
10780 SANTA MONICA BLVD, SUITE 245
LOS ANGELES, CA 90025
Physical Medicine & Rehabilitation (Pain Medicine)
10780 SANTA MONICA BLVD, SUITE 210
LOS ANGELES, CA 90025
Physical Therapist
10780 SANTA MONICA BLVD, STE 470
LOS ANGELES, CA 90025
Psychiatry & Neurology (Clinical Neurophysiology)
10780 SANTA MONICA BLVD, SUITE 210
LOS ANGELES, CA 90025
Physical Medicine & Rehabilitation
10780 SANTA MONICA BLVD, SUITE 333
LOS ANGELES, CA 90025
Non-Pharmacy Dispensing Site
10780 SANTA MONICA BLVD, STE 210
LOS ANGELES, CA 90025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235502360, enumerated as an "organization" on November 11, 2015.

The provider is located at 10780 SANTA MONICA BLVD SUITE 400 LOS ANGELES, CA 90025 and the phone number is (310) 943-4500.

Health Maintenance Organization with taxonomy code 302R00000X.