MOTHER THERESA MEDICAL CENTER OF HUNTINGTON PARK
NPI 1477069375
General Practice in Huntington Park, CA
NPI Status: Active since December 15, 2017
Contact Information
3203 E. FLORENCE AVE.
HUNTINGTON PARK, CA
ZIP 90255
Phone: (323) 835-6310
Fax: (323) 835-6382
- Organization
- General Practice
- CLIA Number: 05D2146075
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-20-2026
About MOTHER THERESA MEDICAL CENTER OF HUNTINGTON PARK
This page provides the complete NPI Profile along with additional information for Mother Theresa Medical Center Of Huntington Park, a primary care provider established in Huntington Park, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1477069375 assigned on December 2017. The practitioner's primary taxonomy code is 208D00000X with license number G29047 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. Mother Theresa Medical Center Of Huntington Park operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Mother Theresa Medical Center Of Huntington Park. The authorized official of this NPI record is Richard C. Keech M.d. (Physician/owner)
- NPI
- 1477069375
- Provider Legal Name
- GAGE MEDICAL CLINIC INC
- Other Organization Name
- MOTHER THERESA MEDICAL CENTER OF HUNTINGTON PARK
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3203 E. FLORENCE AVE. HUNTINGTON PARK, CA 90255
- Location Phone
- (323) 835-6310
- Location Fax
- (323) 835-6382
- Mailing Address
- 3203 E. FLORENCE AVENUE HUNTINGTON PARK, CA 90255
- Mailing Phone
- (323) 835-6310
- Mailing Fax
- (323) 835-6382
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 12-15-2017
- Last Update Date
- 01-25-2018
- Code Navigator
A primary care provider (PCP) like Mother Theresa Medical Center Of Huntington Park 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
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G29047
- License State
- CA
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
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
- 05D2146075
- Facility Type
- Physician Office
- Certificate Effective Date
- March 21, 2024
- Certificate Expiration Date
- March 20, 2026
- Laboratory Director
- RICHARD C. KEECK, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mother Theresa Medical Center Of Huntington Park 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.
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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 1477069375, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477069375, enumerated as an "organization" on December 15, 2017.
The provider is located at 3203 E. FLORENCE AVE. HUNTINGTON PARK, CA 90255 and the phone number is (323) 835-6310.
General Practice with taxonomy code 208D00000X.
