MISSION CITY COMMUNITY NETWORK, INC.
NPI 1710102009
Clinic/Center - Mental Health (Including Community Mental Health Center) in Hollywood, CA
NPI Status: Active since April 13, 2007
Contact Information
4842 HOLLYWOOD BLVD
HOLLYWOOD, CA
ZIP 90027
Phone: (323) 644-1110
Fax: (323) 644-1171
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 05D2051999
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 01-02-2027
About MISSION CITY COMMUNITY NETWORK, INC.
This page provides the complete NPI Profile along with additional information for Mission City Community Network, Inc., a provider established in Hollywood, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1710102009 assigned on April 2007. The practitioner's primary taxonomy code is 261QM0801X with license number 960001162 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Mr. Nik Gupta (Chief Executive Officer)
- NPI
- 1710102009
- Provider Name
- MISSION CITY COMMUNITY NETWORK, INC.
- Entity Type
- Organization
- Location Address
- 4842 HOLLYWOOD BLVD HOLLYWOOD, CA 90027
- Location Phone
- (323) 644-1110
- Location Fax
- (323) 644-1171
- Mailing Address
- 15206 PARTHENIA ST NORTH HILLS, CA 91343
- Mailing Phone
- (818) 895-3100
- Mailing Fax
- (323) 644-1171
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-13-2007
- Last Update Date
- 03-21-2011
- Code Navigator
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
Clinic/Center Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 960001162
- License State
- CA
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) |
|---|---|---|---|---|
| 1 | 261QC1500X | Ambulatory Health Care Facilities | Clinic/Center | 960001162 (CA) |
| 2 | 261QF0400X | Ambulatory Health Care Facilities | Clinic/Center | 960001162 (CA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC70938F | OTHER (01) | CA | MEDICAL PROVIDER NUMBER |
| HAP70436F | MEDICAID (05) | CA | |
| 551067 | OTHER (01) | CA | MEDICARE FQHC |
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
- 05D2051999
- Facility Type
- Community Clinic
- Certificate Effective Date
- January 03, 2025
- Certificate Expiration Date
- January 02, 2027
- Laboratory Director
- NEAL E. SCHWARTZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mission City Community Network, 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.
Reviews for MISSION CITY COMMUNITY NETWORK, INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step 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. | |||||||||
| 1 | 7 | 1 | 0 | 1 | 0 | 2 | 0 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 2 | 0 | 4 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 2 + 0 + 4 + 0 + 0 + 24 = 41 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 41 = 9 | 9 | ||||||||
The NPI number 1710102009 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
NASTARAN MINASSIANS NP
Licensed Practical Nurse
4842 HOLLYWOOD BLVD
LOS ANGELES, CA
ZIP 90027
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710102009, enumerated as an "organization" on April 13, 2007.
The provider is located at 4842 HOLLYWOOD BLVD HOLLYWOOD, CA 90027 and the phone number is (323) 644-1110.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
