ANGELES COMPREHENSIVE COMMUNITY CLINIC, INC.
NPI 1457470684
Clinic/Center in Los Angeles, CA

NPI Status: Active since March 28, 2007

Contact Information

3920 EAGLE ROCK BLVD.
SUITE A
LOS ANGELES, CA
ZIP 90065
Phone: (323) 255-5225
Fax: (323) 255-5229

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  • Organization
  • Clinic/Center

About ANGELES COMPREHENSIVE COMMUNITY CLINIC, INC.

This page provides the complete NPI Profile along with additional information for Angeles Comprehensive Community Clinic, Inc., a provider established in Los Angeles, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1457470684 assigned on March 2007. The practitioner's primary taxonomy code is 261Q00000X with license number 550000708 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Ms. Liana Kazarova (Administrator)

NPI
1457470684
Provider Name
ANGELES COMPREHENSIVE COMMUNITY CLINIC, INC.
Entity Type
Organization
Location Address
3920 EAGLE ROCK BLVD. SUITE A LOS ANGELES, CA 90065
Location Phone
(323) 255-5225
Location Fax
(323) 255-5229
Mailing Address
3920 EAGLE ROCK BLVD. SUITE A LOS ANGELES, CA 90065
Mailing Phone
(323) 255-5225
Mailing Fax
(323) 255-5229
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2007
Last Update Date
08-26-2014
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
License No.
550000708
License State
CA
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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.

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

MS. LIANA KAZAROVA

Authorized Official Title
ADMINISTRATOR
Authorized Official Phone
(323) 255-5225

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
1427003300OTHER (01)CANPI
W20815MEDICARE PIN (08)CA 
1326349960OTHER (01)CANPI
8370190013OTHER (01)CACIGNA
OXG182OTHER (01)CABLUE CROSS
1811043474OTHER (01)CANPI
CB217375OTHER (01)CAMEDICARE PTAN
OO3991OTHER (01)CAHEALTH NET
ZZZ552884OTHER (01)CABLUE SHIELD
G56432F11OTHER (01)CACARE 1ST
1457470684MEDICAID (05)CA 
1427355981OTHER (01)CANPI
91355OTHER (01)CAHEALTHY FAMILY ENROLLMENT ENTITY
G56432MM2OTHER (01)CALA CARE

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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 1457470684, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
4
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
6
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
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 5 → 10 → 1 4 → 8 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 0 + 7 + 8 + 7 + 0 + 6 + 1 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1457470684.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457470684, enumerated as an "organization" on March 28, 2007.

The provider is located at 3920 EAGLE ROCK BLVD. SUITE A LOS ANGELES, CA 90065 and the phone number is (323) 255-5225.

Clinic/Center with taxonomy code 261Q00000X.

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