FAMILY PRACTICE ASSOCIATES OF CARSON
NPI 1851546246
Non-Pharmacy Dispensing Site in Carson, CA

NPI Status: Active since November 26, 2008

Contact Information

824 E CARSON ST
201
CARSON, CA
ZIP 90745
Phone: (310) 233-3228

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Non-Pharmacy Dispensing Site
CLIA Number: 05D0942998
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 03-18-2026

About FAMILY PRACTICE ASSOCIATES OF CARSON

This page provides the complete NPI Profile along with additional information for Family Practice Associates Of Carson, a provider established in Carson, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1851546246 assigned on November 2008. The practitioner's primary taxonomy code is 332900000X with license number G74550 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Kenny Heine (Director Of Operations)

NPI: 1851546246
Provider Name: FAMILY PRACTICE ASSOCIATES OF CARSON
Entity Type: Organization
Location Address: 824 E CARSON ST 201 CARSON, CA 90745
Location Phone: (310) 233-3228
Mailing Address: 5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 11-26-2008
Last Update Date: 10-23-2012
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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: Non-Pharmacy Dispensing Site
Taxonomy Code: 332900000X
Type: Suppliers
License No.: G74550
License State: CA
Taxonomy Description: A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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: KENNY HEINE
Authorized Official Title: DIRECTOR OF OPERATIONS
Authorized Official Phone: (858) 625-2990

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: 05D0942998
Facility Type: Physician Office
Certificate Effective Date: March 19, 2024
Certificate Expiration Date: March 18, 2026
Laboratory Director: REZA GHANIAN
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Family Practice Associates Of Carson 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.

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	8	5	1	5	4	6	2	4	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	8	10	1	10	4	12	2	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 1 + 0 + 4 + 1 + 2 + 2 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 6									6

The NPI number 1851546246 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 19 providers are registered at the same or nearby location.

LYNN P COATES MD

Internal Medicine

824 E CARSON ST
NUMBER 201
CARSON, CA
ZIP 90745

About FAMILY PRACTICE ASSOCIATES OF CARSON

Location Map

Specialty - Primary Taxonomy

Non-Pharmacy Dispensing Site

Authorized Official

KENNY HEINE

CLIA Information

Reviews for FAMILY PRACTICE ASSOCIATES OF CARSON

NPI Validation Check Digit Calculation

Other Providers at the Same Location

Frequently Asked Questions

What is FAMILY PRACTICE ASSOCIATES OF CARSON's NPI number?

Where is the provider located?

What is the provider's specialty?