WELL MEDICAL, A PROFESSIONAL CORPORATION
NPI 1699123737
Nurse Practitioner in Santa Monica, CA

NPI Status: Active since May 31, 2016

Contact Information

929 COLORADO AVE
SANTA MONICA, CA
ZIP 90401
Phone: (424) 221-5012

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  • Organization
  • Nurse Practitioner

About WELL MEDICAL, A PROFESSIONAL CORPORATION

This page provides the complete NPI Profile along with additional information for Well Medical, A Professional Corporation, a provider established in Santa Monica, California operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1699123737 assigned on May 2016. The practitioner's primary taxonomy code is 363L00000X. The provider is registered as an organization and their NPI record was last updated 5 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 Ildar Fazulyanov (Chief Operating Officer)

NPI
1699123737
Provider Name
WELL MEDICAL, A PROFESSIONAL CORPORATION
Entity Type
Organization
Location Address
929 COLORADO AVE SANTA MONICA, CA 90401
Location Phone
(424) 221-5012
Mailing Address
2280 SAWTELLE BLVD. # 101 LOS ANGELES, CA 90064
Mailing Phone
(310) 384-0970
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-31-2016
Last Update Date
03-08-2021
Code Navigator

A nurse practitioner (NP) like Well Medical, A Professional Corporation 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.

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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

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Physical Therapist

 

Group Taxonomy 193400000X MULTIPLE 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

ILDAR FAZULYANOV

Authorized Official Title
CHIEF OPERATING OFFICER
Authorized Official Phone
(310) 384-0970

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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 1699123737, 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 8 + 9 + 2 + 2 + 6 + 7 + 6 + 24 = 73

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.

80 - 73 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1699123737.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699123737, enumerated as an "organization" on May 31, 2016.

The provider is located at 929 COLORADO AVE SANTA MONICA, CA 90401 and the phone number is (424) 221-5012.

Nurse Practitioner with taxonomy code 363L00000X.