MEDWISE MEDICAL CLINIC, INC
NPI 1609813096
General Practice in Glendale, CA

NPI Status: Active since June 02, 2006

Contact Information

540 N CENTRAL AVE
SUITE 203
GLENDALE, CA
ZIP 91203
Phone: (818) 242-0500

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  • Organization
  • General Practice

About MEDWISE MEDICAL CLINIC, INC

This page provides the complete NPI Profile along with additional information for Medwise Medical Clinic, Inc, a primary care provider established in Glendale, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1609813096 assigned on June 2006. The practitioner's primary taxonomy code is 208D00000X with license number A42072 (CA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's former legal business name is Medwise Medical Clinic. The authorized official of this NPI record is Dr. Shaliman Eivazzadeh M.d. (Owner)

NPI
1609813096
Provider Legal Name
MEDWISE MEDICAL CLINIC, INC
Other Organization Name
MEDWISE MEDICAL CLINIC
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
540 N CENTRAL AVE SUITE 203 GLENDALE, CA 91203
Location Phone
(818) 242-0500
Mailing Address
PO BOX 601 GLENDALE, CA 91209
Mailing Phone
(818) 242-0500
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-02-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Medwise Medical Clinic, Inc 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.
A42072
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 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

DR. SHALIMAN EIVAZZADEH M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(818) 242-0500

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
00A420721MEDICAID (05)CA 

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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 1609813096, 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 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 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
6
Unchanged
Pos 3
0
Doubled → 0
Pos 4
9
Unchanged
Pos 5
8
Doubled → 16 → 1 + 6
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 0 → 0 8 → 16 → 7 3 → 6 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 0 + 9 + 1 + 6 + 1 + 6 + 0 + 1 + 8 + 24 = 64

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

The next multiple of ten after 64 is 70. The difference is the calculated check digit.

70 - 64 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1609813096.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Acupuncturist
540 N CENTRAL AVE, #203
GLENDALE, CA 91203
Anesthesiology (Pain Medicine)
540 N CENTRAL AVE, 205
GLENDALE, CA 91203
Dentist (General Practice)
540 N CENTRAL AVE, STE 204
GLENDALE, CA 91203
Dietitian, Registered
540 N CENTRAL AVE, SUITE # 303
GLENDALE, CA 91203
Pediatrics
540 N CENTRAL AVE, SUITE 301
GLENDALE, CA 91203
Acupuncturist
540 N CENTRAL AVE, SUITE 202
GLENDALE, CA 91203
Dentist (General Practice)
540 N CENTRAL AVE, SUITE 209
GLENDALE, CA 91203
General Practice
540 N CENTRAL AVE
GLENDALE, CA 91203
Dentist (General Practice)
540 N CENTRAL AVE, SUITE 108
GLENDALE, CA 91203
Psychiatry & Neurology (Neurology)
540 N CENTRAL AVE, SUITE# 302
GLENDALE, CA 91203
Radiology (Diagnostic Radiology)
540 N CENTRAL AVE, SUITE 302
GLENDALE, CA 91203
Internal Medicine (Gastroenterology)
540 N CENTRAL AVE, STE 110
GLENDALE, CA 91203
Anesthesiology (Pain Medicine)
540 N CENTRAL AVE, 205
GLENDALE, CA 91203
Pediatrics
540 N CENTRAL AVE, #301
GLENDALE, CA 91203

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609813096, enumerated as an "organization" on June 02, 2006.

The provider is located at 540 N CENTRAL AVE SUITE 203 GLENDALE, CA 91203 and the phone number is (818) 242-0500.

General Practice with taxonomy code 208D00000X.

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