VENICE SOUTH BAY REDONDO BEACH
NPI 1356914857
Clinic/Center - Federally Qualified Health Center (FQHC) in Redondo Beach, CA
NPI Status: Active since July 21, 2021
Contact Information
2114 ARTESIA BLVD
REDONDO BEACH, CA
ZIP 90278
Phone: (310) 802-6177
Fax: (310) 802-6178
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D0548498
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 03-14-2027
About VENICE SOUTH BAY REDONDO BEACH
This page provides the complete NPI Profile along with additional information for Venice South Bay Redondo Beach, a primary care provider established in Redondo Beach, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1356914857 assigned on July 2021. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Venice South Bay Redondo Beach operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Venice South Bay Redondo Beach. The authorized official of this NPI record is Dr. Mitesh G Popat Md (Chief Executive Officer)
- NPI
- 1356914857
- Provider Legal Name
- VENICE FAMILY CLINIC
- Other Organization Name
- VENICE SOUTH BAY REDONDO BEACH
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 2114 ARTESIA BLVD REDONDO BEACH, CA 90278
- Location Phone
- (310) 802-6177
- Location Fax
- (310) 802-6178
- Mailing Address
- 604 ROSE AVE VENICE, CA 90291
- Mailing Phone
- (310) 392-8636
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 07-21-2021
- Last Update Date
- 11-30-2023
- Code Navigator
A primary care provider (PCP) like Venice South Bay Redondo Beach 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 .
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
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 171M00000X | Other Service Providers | Case Manager/Care Coordinator |
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.
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
- 05D0548498
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- March 15, 2025
- Certificate Expiration Date
- March 14, 2027
- Laboratory Director
- CESAR L. BARBA
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Venice South Bay Redondo Beach 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 1356914857, 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.
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 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 11 providers are registered at the same or a nearby location.
REDONDO BEACH, CA 90278
REDONDO BEACH, CA 90278
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1356914857, enumerated as an "organization" on July 21, 2021.
The provider is located at 2114 ARTESIA BLVD REDONDO BEACH, CA 90278 and the phone number is (310) 802-6177.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
