4548 KH SOUTH BAY
NPI 1750686911
Hospitalist in Gardena, CA

NPI Status: Active since January 20, 2011

Contact Information

1246 W 155TH ST
GARDENA, CA
ZIP 90247
Phone: (310) 323-5330
Fax: (502) 596-4150

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Hospitalist

About 4548 KH SOUTH BAY

This page provides the complete NPI Profile along with additional information for 4548 Kh South Bay, a provider established in Gardena, California operating as a Hospitalist. The healthcare provider is registered in the NPI registry with number 1750686911 assigned on January 2011. The practitioner's primary taxonomy code is 208M00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. 4548 Kh South Bay operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is 4548 Kh South Bay. The authorized official of this NPI record is Linda L Fisher (Dvp Revenue Cycle)

NPI: 1750686911
Provider Legal Name: KND DEVELOPMENT 59 LLC
Other Organization Name: 4548 KH SOUTH BAY
Other Name Type: Other Name (5)
Entity Type: Organization
Location Address: 1246 W 155TH ST GARDENA, CA 90247
Location Phone: (310) 323-5330
Location Fax: (502) 596-4150
Mailing Address: 680 S 4TH ST LOUISVILLE, KY 40202
Mailing Phone: (502) 596-7358
Mailing Fax: (502) 596-4150
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 01-20-2011
Last Update Date: 07-01-2020
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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: Hospitalist
Taxonomy Code: 208M00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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.

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: LINDA L FISHER
Authorized Official Title: DVP REVENUE CYCLE
Authorized Official Phone: (502) 596-7358

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
CB211745	OTHER (01)	CA	MEDICARE

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	5	0	6	8	6	9	1	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	10	0	12	8	12	9	2
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 2 + 8 + 1 + 2 + 9 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1									1

The NPI number 1750686911 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.