MONTECRISTO MEDICAL PC
NPI 1699268631
Clinic/Center - Primary Care in Van Nuys, CA
NPI Status: Active since June 13, 2018
Contact Information
14649 VICTORY BLVD STE 20
VAN NUYS, CA
ZIP 91411
Phone: (818) 786-8396
Fax: (818) 901-7128
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 05D1097025
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-16-2027
About MONTECRISTO MEDICAL PC
This page provides the complete NPI Profile along with additional information for Montecristo Medical Pc, a primary care provider established in Van Nuys, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1699268631 assigned on June 2018. The practitioner's primary taxonomy code is 261QP2300X with license number A100277 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Dr. Anita Emperatriz Gonzalez Md (President)
- NPI
- 1699268631
- Provider Name
- MONTECRISTO MEDICAL PC
- Entity Type
- Organization
- Location Address
- 14649 VICTORY BLVD STE 20 VAN NUYS, CA 91411
- Location Phone
- (818) 786-8396
- Location Fax
- (818) 901-7128
- Mailing Address
- 14649 VICTORY BLVD STE 20 VAN NUYS, CA 91411
- Mailing Phone
- (818) 786-8396
- Mailing Fax
- (818) 901-7128
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-13-2018
- Last Update Date
- 10-23-2019
- Code Navigator
A primary care provider (PCP) like Montecristo Medical Pc 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
Secondary Locations
- 14350 Victory Blvd Ste 3
Van Nuys, CA 91401
(818) 786-8396 - 14350 Victory Blvd Ste 3
Van Nuys, CA 91401
(818) 786-8396
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
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
- License No.
- A100277
- License State
- CA
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
- 05D1097025
- Facility Type
- Physician Office
- Certificate Effective Date
- March 17, 2025
- Certificate Expiration Date
- March 16, 2027
- Laboratory Director
- ANITA E. GONZALEZ, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Montecristo Medical Pc 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 1699268631, we treat the final digit (1) 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 79. The final step is to find the difference between that total and the next multiple of ten (80 - 79 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 79 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
VAN NUYS, CA 91411
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699268631, enumerated as an "organization" on June 13, 2018.
The provider is located at 14649 VICTORY BLVD STE 20 VAN NUYS, CA 91411 and the phone number is (818) 786-8396.
Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.
