SORAYA MEDICAL GROUP, INC. NPI 1285782664
General Practice in South Gate, CA

Organization General Practice CLIA Number 05D0930085 CLIA Certificate of Waiver

About SORAYA MEDICAL GROUP, INC.

Soraya Medical Group, Inc. is a primary care provider established in South Gate, California specializing in General Practice. The NPI number of Soraya Medical Group, Inc. is 1285782664 and was assigned on January 2007. The practitioner's primary taxonomy code is 208D00000X with license number A46572 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. Soraya Medical Group, Inc. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Saeid Sadighi M.d. (President)

NPI
1285782664
Provider NameSORAYA MEDICAL GROUP, INC.
Provider Location Address2701 FIRESTONE BLVD SUITE W SOUTH GATE, CA 90280
Provider Mailing Address2701 FIRESTONE BLVD STE W SOUTH GATE, CA 90280
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-08-2007
Last Update Date07-30-2013

A primary care provider (PCP) like Soraya Medical Group, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

The CLIA number of Soraya Medical Group, Inc. is 05D0930085 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Soraya 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.



Primary Taxonomy

Taxonomy Code208D00000X
ClassificationGeneral Practice
TypeAllopathic & Osteopathic Physicians
License No.A46572
License StateCA

Business Address

SORAYA MEDICAL GROUP, INC.
2701 FIRESTONE BLVD
SUITE W
SOUTH GATE, CA
ZIP 90280
Phone: (323) 249-6162
Fax: (323) 563-0820

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Mailing Address

SORAYA MEDICAL GROUP, INC.
2701 FIRESTONE BLVD STE W
SOUTH GATE, CA
ZIP 90280
Phone: (323) 249-6162
Fax: (323) 563-0820


Authorized Official

Authorized Official NameDR. SAEID SADIGHI M.D.
Authorized Official TitlePRESIDENT
Authorized Official Phone(323) 249-6162

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 the NPI number 1285782664 is:

CLIA Number05D0930085
Facility TypePHYSICIAN OFFICE
Certificate TypeCertificate of Waiver

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
12085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyRHC134869CANo

Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A465720OTHER (01)CAHMO I.D.
00A465720OTHER (01)CAPPO I.D
ZZZ55357ZOTHER (01)CABLUE CROSS BLUESHIELD
E73285MEDICARE UPIN (02)CA
GR0080040MEDICAID (05)CA
W14232AMEDICARE ID-TYPE UNSPECIFIED (04)CAGROUP I.D. NORWALK
W14232MEDICARE ID-TYPE UNSPECIFIED (04)CAGROUP PROVIDER NUMBER
GR0080041MEDICAID (05)CA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1285782664
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221651484612
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 8 + 4 + 6 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1285782664 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003024464 SEYED ALI KHONSARY M.D.
Individual
Nuclear Medicine2701 FIRESTONE BLVD SUITE W
SOUTH GATE, CA 90280
(323) 249-6162
1104037506 SAEID SADIGHI M.D.
Individual
General Practice2701 FIRESTONE BLVD SUITE W
SOUTH GATE, CA 90280
(323) 249-6162

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Soraya Medical Group, Inc. is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.