SERAPH MEDICAL (SERPAH MEDICAL PC) NPI 1619445640

Clinic/Center (Primary Care) in Los Angeles, CA

NPI 1619445640 Organization Clinic/Center Primary Care

NPI Profile for SERAPH MEDICAL (SERPAH MEDICAL PC)

Seraph Medical (serpah Medical Pc) is a primary care provider established in Los Angeles, California specializing in clinic/center (primary care) . The NPI number of Seraph Medical (serpah Medical Pc) is 1619445640 and was assigned on November 2018. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Seraph Medical (serpah Medical Pc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's other name is Seraph Medical. The authorized official of this NPI record is Kevin Matthew Nelson (Administrator)

A primary care provider (PCP) like Seraph Medical 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

NPI

1619445640

Provider NameSERAPH MEDICAL (SERPAH MEDICAL PC)
Provider Location Address2080 CENTURY PARK E STE 710 LOS ANGELES, CA 90067
Provider Mailing Address2080 CENTURY PARK E STE 710 LOS ANGELES, CA 90067
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameSERAPH MEDICAL
Other Name TypeOther Name (5)
Enumeration Date11-07-2018
Last Update Date11-07-2018


Primary Taxonomy

Taxonomy Code261QP2300X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationPrimary Care

Business Address

SERAPH MEDICAL
2080 CENTURY PARK E STE 710
LOS ANGELES, CA
ZIP 90067
Phone: (424) 274-3211

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Mailing Address

SERAPH MEDICAL
2080 CENTURY PARK E STE 710
LOS ANGELES, CA
ZIP 90067
Phone: (424) 274-3211



Authorized Official

Authorized Official Name KEVIN MATTHEW NELSON
Authorized Official TitleADMINISTRATOR
Authorized Official Phone(310) 883-8920

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.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207RI0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical & Laboratory ImmunologyNo

Taxonomy Description: an internal medicine physician who specializes in clinical and laboratory immunology disease management.

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619445640
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629841068
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 8 + 4 + 1 + 0 + 6 + 8 + 24 = 70
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1619445640 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477021996 ADRIAN LEE MACKAY PA-C
Individual
Physician Assistant2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
(424) 274-3211
1487097119 JONATHAN S POURMORADY
Individual
Internal Medicine (Gastroenterology)2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
(310) 933-3229
1942807300JONATHAN S POURMORADY MD CORP
Organization
Internal Medicine (Gastroenterology)2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
(310) 933-3229
1568052959CENTURY PLAZA AMBULATORY SURGICAL CENTER
Organization
Clinic/Center (Ambulatory Surgical)2080 CENTURY PARK E STE 710
LOS ANGELES, CA 90067
(424) 527-0194

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Seraph Medical is registered as an entity type code: 2. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.