VALLEY PEDIATRIC MEDICAL GROUP,INC.
NPI 1790858124
Pediatrics - Adolescent Medicine in Encino, CA
NPI Status: Active since November 15, 2006
Contact Information
5353 BALBOA BLVD
SUITE 104
ENCINO, CA
ZIP 91316
Phone: (818) 789-7181
Fax: (818) 986-8322
- Organization
- Pediatrics
- Adolescent Medicine
- CLIA Number: 05D0561202
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-24-2028
About VALLEY PEDIATRIC MEDICAL GROUP,INC.
This page provides the complete NPI Profile along with additional information for Valley Pediatric Medical Group,inc., a pediatrician established in Encino, California operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1790858124 assigned on November 2006. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 6 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 provider's is doing business as Valley Pediatric Medical Group,inc.. The authorized official of this NPI record is Ms. Karyn Young (Credentialing Manager)
- NPI
- 1790858124
- Provider Legal Name
- VALLEY PEDIATRIC MEDICAL GROUP,INC.
- Other Organization Name
- VALLEY PEDIATRIC MEDICAL GROUP,INC.
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5353 BALBOA BLVD SUITE 104 ENCINO, CA 91316
- Location Phone
- (818) 789-7181
- Location Fax
- (818) 986-8322
- Mailing Address
- 5353 BALBOA BLVD SUITE 104 ENCINO, CA 91316
- Mailing Phone
- (818) 789-7181
- Mailing Fax
- (818) 986-8322
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-15-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A pediatrician like Valley Pediatric Medical Group,inc. is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics Adolescent Medicine
- Taxonomy Code
- 2080A0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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
- 05D0561202
- Facility Type
- Physician Office
- Certificate Effective Date
- March 25, 2026
- Certificate Expiration Date
- March 24, 2028
- Laboratory Director
- DR. PETER SHULMAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Valley Pediatric 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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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 1790858124, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 19 providers are registered at the same or a nearby location.
ENCINO, CA 91316
ENCINO, CA 91316
ENCINO, CA 91316
ENCINO, CA 91316
ENCINO, CA 91316
ENCINO, CA 91316
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790858124, enumerated as an "organization" on November 15, 2006.
The provider is located at 5353 BALBOA BLVD SUITE 104 ENCINO, CA 91316 and the phone number is (818) 789-7181.
Pediatrics with taxonomy code 2080A0000X and a focus in Adolescent Medicine.
