BRENTWOOD ORTHOPEDIC AND SPINE SURGERY LLC
NPI 1821498635
Clinic/Center - Ambulatory Surgical in Los Angeles, CA
NPI Status: Active since August 28, 2014
Contact Information
11980 SAN VICENTE BLVD
SUITE 110
LOS ANGELES, CA
ZIP 90049
Phone: (310) 337-7463
Fax: (310) 442-8336
- Organization
- Clinic/Center
- Ambulatory Surgical
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 05D2324007
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 05-15-2027
About BRENTWOOD ORTHOPEDIC AND SPINE SURGERY LLC
This page provides the complete NPI Profile along with additional information for Brentwood Orthopedic And Spine Surgery Llc, a provider established in Los Angeles, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1821498635 assigned on August 2014. The practitioner's primary taxonomy code is 261QA1903X with license number A100370 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Dr. Moshe H. Wilker M.d. (President)
- NPI
- 1821498635
- Provider Name
- BRENTWOOD ORTHOPEDIC AND SPINE SURGERY LLC
- Entity Type
- Organization
- Location Address
- 11980 SAN VICENTE BLVD SUITE 110 LOS ANGELES, CA 90049
- Location Phone
- (310) 337-7463
- Location Fax
- (310) 442-8336
- Mailing Address
- 11980 SAN VICENTE BLVD SUITE 110 LOS ANGELES, CA 90049
- Mailing Phone
- (310) 337-7463
- Mailing Fax
- (310) 442-8336
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-28-2014
- Last Update Date
- 11-11-2024
- Code Navigator
Brentwood Orthopedic And Spine Surgery Llc is a medicare supplier with PTAN 20478803 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Blood Glucose Monitors/Supplies (Non-Mail Order) or Heat & Cold Applications or Canes and/or Crutches or Walkers or Orthoses: Off-The-Shelf or Urological Supplies or Enteral Nutrients or Nebulizer Equipment and/or Supplies or Surgical Dressings.
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 Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- A100370
- License State
- CA
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20478803
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
- Heat & Cold Applications - Heat therapy, Cold therapy, Heating pads
- Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
- Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Urological Supplies - Catheters, Urinary collection devices
- Enteral Nutrients - Enteral formula
- Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
- Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
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
- 05D2324007
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- May 16, 2025
- Certificate Expiration Date
- May 15, 2027
- Laboratory Director
- MOSHE H. WILKER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brentwood Orthopedic And Spine Surgery Llc 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 1821498635, we treat the final digit (5) 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 75. The final step is to find the difference between that total and the next multiple of ten (80 - 75 = 5).
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 75 is 80. 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.
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
LOS ANGELES, CA 90049
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821498635, enumerated as an "organization" on August 28, 2014.
The provider is located at 11980 SAN VICENTE BLVD SUITE 110 LOS ANGELES, CA 90049 and the phone number is (310) 337-7463.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
