MAI TUYET PHAN MEDICAL CLINIC A PROFESSIONAL CORPORATION
NPI 1588969026
Clinic/Center - Health Service in Reseda, CA

NPI Status: Active since January 13, 2011

Contact Information

18625 SHERMAN WAY
SUITE 104
RESEDA, CA
ZIP 91335
Phone: (818) 342-8171

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 05D0906648
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-28-2027

About MAI TUYET PHAN MEDICAL CLINIC A PROFESSIONAL CORPORATION

This page provides the complete NPI Profile along with additional information for Mai Tuyet Phan Medical Clinic A Professional Corporation, a provider established in Reseda, California operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1588969026 assigned on January 2011. The practitioner's primary taxonomy code is 261QH0100X with license number A51466 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mai Tuyet Phan M.d. (M.d.)

NPI
1588969026
Provider Name
MAI TUYET PHAN MEDICAL CLINIC A PROFESSIONAL CORPORATION
Entity Type
Organization
Location Address
18625 SHERMAN WAY SUITE 104 RESEDA, CA 91335
Location Phone
(818) 342-8171
Mailing Address
18625 SHERMAN WAY SUITE 104 RESEDA, CA 91335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-13-2011
Last Update Date
10-07-2011
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
A51466
License State
CA

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

MAI TUYET PHAN M.D.

Authorized Official Title
M.D.
Authorized Official Phone
(818) 342-8171

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
G02228MEDICARE UPIN (02)CA 

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
05D0906648
Facility Type
Physician Office
Certificate Effective Date
March 01, 2025
Certificate Expiration Date
February 28, 2027
Laboratory Director
MAI T. PHAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Mai Tuyet Phan Medical Clinic A Professional Corporation 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.

Reviews for MAI TUYET PHAN MEDICAL CLINIC A PROFESSIONAL CORPORATION

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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 1588969026, we treat the final digit (6) 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 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

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
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
0
Unchanged
Pos 9
2
Doubled → 4
Check
6
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 8 → 16 → 7 9 → 18 → 9 9 → 18 → 9 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 6 + 8 + 1 + 8 + 6 + 1 + 8 + 0 + 4 + 24 = 74

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

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1588969026.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Pharmacy (Community/Retail Pharmacy)
18625 SHERMAN WAY, STE 107
RESEDA, CA 91335
Internal Medicine
18625 SHERMAN WAY, SUITE #104
RESEDA, CA 91335
Chiropractor
18625 SHERMAN WAY, SUITE 109
RESEDA, CA 91335
Nurse Practitioner (Family)
18625 SHERMAN WAY, SUITE 104
RESEDA, CA 91335
Anesthesiology
18625 SHERMAN WAY, SUITE 104
RESEDA, CA 91335
Pharmacy (Community/Retail Pharmacy)
18625 SHERMAN WAY, SUITE 107
RESEDA, CA 91335
Durable Medical Equipment & Medical Supplies
18625 SHERMAN WAY, SUITE 106
RESEDA, CA 91335
Internal Medicine
18625 SHERMAN WAY
RESEDA, CA 91335

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588969026, enumerated as an "organization" on January 13, 2011.

The provider is located at 18625 SHERMAN WAY SUITE 104 RESEDA, CA 91335 and the phone number is (818) 342-8171.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.

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