SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION
NPI 1518014463
Specialist in Tarzana, CA

NPI Status: Active since January 04, 2007

Contact Information

18840 VENTURA BLVD STE 100A
TARZANA, CA
ZIP 91356
Phone: (818) 345-6126
Fax: (818) 345-5061

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  • Organization
  • Specialist
  • CLIA Number: 05D2244714
  • CLIA Cert. Type: Other - OBL
  • CLIA Exp. Date: 12-03-2027

About SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION

This page provides the complete NPI Profile along with additional information for San Fernando Valley Vascular Group A Medical Corporation, a provider established in Tarzana, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1518014463 assigned on January 2007. The practitioner's primary taxonomy code is 174400000X with license number A062315 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. San Fernando Valley Vascular Group A Medical Corporation operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Lydia Nassoura (Director)

NPI
1518014463
Provider Name
SAN FERNANDO VALLEY VASCULAR GROUP A MEDICAL CORPORATION
Entity Type
Organization
Location Address
18840 VENTURA BLVD STE 100A TARZANA, CA 91356
Location Phone
(818) 345-6126
Location Fax
(818) 345-5061
Mailing Address
18840 VENTURA BLVD STE 100A TARZANA, CA 91356
Mailing Phone
(818) 345-6126
Mailing Fax
(818) 345-5061
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-04-2007
Last Update Date
06-18-2024
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
A062315
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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

LYDIA NASSOURA

Authorized Official Title
DIRECTOR
Authorized Official Phone
(818) 345-6126

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
05D2244714
Facility Type
Other - OBL
Certificate Effective Date
December 04, 2025
Certificate Expiration Date
December 03, 2027
Laboratory Director
ZAHI E. NASSOURA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Fernando Valley Vascular Group A Medical Corporation 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 1518014463, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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
5
Unchanged
Pos 3
1
Doubled → 2
Pos 4
8
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
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 1 → 2 0 → 0 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 2 + 8 + 0 + 1 + 8 + 4 + 1 + 2 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1518014463.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Surgery (Vascular Surgery)
18840 VENTURA BLVD STE 100A
TARZANA, CA 91356

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518014463, enumerated as an "organization" on January 04, 2007.

The provider is located at 18840 VENTURA BLVD STE 100A TARZANA, CA 91356 and the phone number is (818) 345-6126.

Specialist with taxonomy code 174400000X.