VENICE CULVER MARINA MEDICAL GROUP INC
NPI 1376711440
Clinic/Center - Multi-Specialty in Los Angeles, CA

NPI Status: Active since February 12, 2008

Contact Information

12212 W WASHINGTON BLVD
LOS ANGELES, CA
ZIP 90066
Phone: (310) 391-5241
Fax: (310) 397-4324

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  • Organization
  • Clinic/Center
  • Multi-Specialty

About VENICE CULVER MARINA MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Venice Culver Marina Medical Group Inc, a provider established in Los Angeles, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1376711440 assigned on February 2008. The practitioner's primary taxonomy code is 261QM1300X with license number A32561 (CA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Jay Tehrani Billing Manager (Billing Manager)

NPI
1376711440
Provider Name
VENICE CULVER MARINA MEDICAL GROUP INC
Entity Type
Organization
Location Address
12212 W WASHINGTON BLVD LOS ANGELES, CA 90066
Location Phone
(310) 391-5241
Location Fax
(310) 397-4324
Mailing Address
PO BOX 24706 LOS ANGELES, CA 90024
Mailing Phone
(310) 391-5241
Mailing Fax
(310) 397-4324
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-12-2008
Last Update Date
10-10-2017
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities
License No.
A32561
License State
CA

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)
1261QM1300XAmbulatory Health Care Facilities

Clinic/Center
Multi-Specialty

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. JAY TEHRANI BILLING MANAGER

Authorized Official Title
BILLING MANAGER
Authorized Official Phone
(310) 672-9000

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
W13797MEDICARE PIN (08)CA 
W13797MEDICARE UPIN (02)CA 

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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 1376711440, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
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 7 → 14 → 5 7 → 14 → 5 1 → 2 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 1 + 4 + 1 + 2 + 4 + 8 + 24 = 60

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

The next multiple of ten after 60 is 60. The difference is the calculated check digit.

60 - 60 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1376711440.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Physician Assistant
12212 W WASHINGTON BLVD
LOS ANGELES, CA 90066
General Practice
12212 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Physician Assistant
12212 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Clinic/Center (Urgent Care)
12212 W WASHINGTON BLVD
LOS ANGELES, CA 90066
Registered Nurse
12212 W WASHINGTON BLVD
LOS ANGELES, CA 90066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376711440, enumerated as an "organization" on February 12, 2008.

The provider is located at 12212 W WASHINGTON BLVD LOS ANGELES, CA 90066 and the phone number is (310) 391-5241.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.