CEDARS TOWER MEDICAL GROUP, INC
NPI 1689939787
Nurse Practitioner - Primary Care in Los Angeles, CA

NPI Status: Active since July 05, 2012

Contact Information

8631 W 3RD ST STE 1140
LOS ANGELES, CA
ZIP 90048
Phone: (323) 712-1411
Fax: (818) 506-9030

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  • Organization
  • Nurse Practitioner
  • Primary Care
  • CLIA Number: 05D2228431
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 06-24-2027

About CEDARS TOWER MEDICAL GROUP, INC

This page provides the complete NPI Profile along with additional information for Cedars Tower Medical Group, Inc, a provider established in Los Angeles, California operating as a Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1689939787 assigned on July 2012. The practitioner's primary taxonomy code is 363LP2300X with license number 21671 (CA). The provider is registered as an organization and their NPI record was last updated 14 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 authorized official of this NPI record is Alina Kievsky Np (Vice-president)

NPI
1689939787
Provider Name
CEDARS TOWER MEDICAL GROUP, INC
Entity Type
Organization
Location Address
8631 W 3RD ST STE 1140 LOS ANGELES, CA 90048
Location Phone
(323) 712-1411
Location Fax
(818) 506-9030
Mailing Address
8631 W 3RD ST STE 1140 LOS ANGELES, CA 90048
Mailing Phone
(323) 712-1411
Mailing Fax
(818) 506-9030
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-05-2012
Last Update Date
07-05-2012
Code Navigator

A nurse practitioner (NP) like Cedars Tower Medical Group, Inc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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

Nurse Practitioner Primary Care

Taxonomy Code
363LP2300X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
21671
License State
CA

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.

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

ALINA KIEVSKY NP

Authorized Official Title
VICE-PRESIDENT
Authorized Official Phone
(323) 606-3888

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
05D2228431
Facility Type
Practitioner Other
Certificate Effective Date
June 25, 2025
Certificate Expiration Date
June 24, 2027
Laboratory Director
RAMPRASAD C. DANDILLAYA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cedars Tower Medical Group, Inc 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 1689939787, 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 83. The final step is to find the difference between that total and the next multiple of ten (90 - 83 = 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.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
7
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
7
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 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 6 + 9 + 1 + 8 + 3 + 1 + 8 + 7 + 1 + 6 + 24 = 83

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

The next multiple of ten after 83 is 90. The difference is the calculated check digit.

90 - 83 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1689939787.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689939787, enumerated as an "organization" on July 05, 2012.

The provider is located at 8631 W 3RD ST STE 1140 LOS ANGELES, CA 90048 and the phone number is (323) 712-1411.

Nurse Practitioner with taxonomy code 363LP2300X and a focus in Primary Care.