PROVIDENCE MEDICAL INSTITUTE
NPI 1609358977
Hospitalist in Torrance, CA
NPI Status: Active since September 04, 2018
Contact Information
4101 TORRANCE BLVD
TORRANCE, CA
ZIP 90503
Phone: (310) 303-6833
- Organization
- Hospitalist
- Medicare Supplier
- Does Not Accept Medicare Approved Payment
- CLIA Number: 05D0956399
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-26-2027
About PROVIDENCE MEDICAL INSTITUTE
This page provides the complete NPI Profile along with additional information for Providence Medical Institute, a provider established in Torrance, California operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1609358977 assigned on September 2018. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 8 years ago. Providence Medical Institute 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 Mr. Donald Wayne Anderson (Assistant Secretary-enrollment)
- NPI
- 1609358977
- Provider Name
- PROVIDENCE MEDICAL INSTITUTE
- Entity Type
- Organization
- Location Address
- 4101 TORRANCE BLVD TORRANCE, CA 90503
- Location Phone
- (310) 303-6833
- Mailing Address
- 21311 MADRONA AVE STE 101 TORRANCE, CA 90503
- Mailing Phone
- (310) 792-4015
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-04-2018
- Last Update Date
- 09-04-2018
- Code Navigator
Providence Medical Institute is a medicare supplier with PTAN 20576831 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.
Location Map
Secondary Locations
- 18321 Clark St
Tarzana, CA 91356
(818) 708-5199 - 1386 W 7th St
San Pedro, CA 90732
(310) 514-5401 - 2121 Santa Monica Blvd
Santa Monica, CA 90404
(310) 792-4015 - 501 S Buena Vista St
Burbank, CA 91505
(818) 847-3893 - 1300 W 7th St
San Pedro, CA 90732
(310) 514-5401 - 15031 Rinaldi St
Mission Hills, CA 91345
(818) 496-4610
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
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License State
- CA
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
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.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20576831
- Accepts Medicare Assignment
- NO
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
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
- 05D0956399
- Facility Type
- Physician Office
- Certificate Effective Date
- January 27, 2025
- Certificate Expiration Date
- January 26, 2027
- Laboratory Director
- BENJAMIN S. SIMON MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Providence Medical Institute 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 1609358977, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
TORRANCE, CA 90503
TORRANCE, CA 90503
TORRANCE, CA 90503
TORRANCE, CA 90503
TORRANCE, CA 90503
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1609358977, enumerated as an "organization" on September 04, 2018.
The provider is located at 4101 TORRANCE BLVD TORRANCE, CA 90503 and the phone number is (310) 303-6833.
Hospitalist with taxonomy code 208M00000X.
