UCLA CPN SANTA MONICA BAY PHYSICIAN
NPI 1811376452
Clinic/Center - Multi-Specialty in Marina Del Rey, CA
NPI Status: Active since May 28, 2015
Contact Information
4560 ADMIRALTY WAY
100
MARINA DEL REY, CA
ZIP 90292
Phone: (310) 301-8707
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D0957566
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-22-2027
About UCLA CPN SANTA MONICA BAY PHYSICIAN
This page provides the complete NPI Profile along with additional information for Ucla Cpn Santa Monica Bay Physician, a provider established in Marina Del Rey, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1811376452 assigned on May 2015. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Ucla Cpn Santa Monica Bay Physician. The authorized official of this NPI record is Bernard J Katz Md (Md)
- NPI
- 1811376452
- Provider Legal Name
- REGENTS OF THE UNIVERSITY OF CALIFORNIA
- Other Organization Name
- UCLA CPN SANTA MONICA BAY PHYSICIAN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4560 ADMIRALTY WAY 100 MARINA DEL REY, CA 90292
- Location Phone
- (310) 301-8707
- Mailing Address
- 5767 W CENTURY BLVD 400 LOS ANGELES, CA 90045
- Mailing Phone
- (310) 301-8707
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-28-2015
- Last Update Date
- 05-28-2015
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License State
- 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 |
|---|---|---|---|
| 1710287297 | MEDICARE NSC (07) | 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
- 05D0957566
- Facility Type
- Physician Office
- Certificate Effective Date
- February 23, 2025
- Certificate Expiration Date
- February 22, 2027
- Laboratory Director
- BERNARD KATZ
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Ucla Cpn Santa Monica Bay Physician in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for UCLA CPN SANTA MONICA BAY PHYSICIAN
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 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 1811376452, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
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 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
MARINA DEL REY, CA 90292
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1811376452, enumerated as an "organization" on May 28, 2015.
The provider is located at 4560 ADMIRALTY WAY 100 MARINA DEL REY, CA 90292 and the phone number is (310) 301-8707.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
