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