BEVERLY ORTHOPEDIC LABORATORY INC
NPI 1871186981
Prosthetic/Orthotic Supplier in Lynwood, CA

NPI Status: Active since February 19, 2021

Contact Information

3737 MARTIN LUTHER KING JR BLVD
#335
LYNWOOD, CA
ZIP 90262
Phone: (310) 438-3645
Fax: (310) 438-3699

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  • Organization
  • Prosthetic/Orthotic Supplier
  • Medicare Supplier
  • Does Not Accept Medicare Approved Payment

About BEVERLY ORTHOPEDIC LABORATORY INC

This page provides the complete NPI Profile along with additional information for Beverly Orthopedic Laboratory Inc, a provider established in Lynwood, California operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1871186981 assigned on February 2021. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mr. Sanjay Suresh Kawankar Cd, Bo Cpo (Ceo, Cfo, Practice Manager)

NPI
1871186981
Provider Name
BEVERLY ORTHOPEDIC LABORATORY INC
Entity Type
Organization
Location Address
3737 MARTIN LUTHER KING JR BLVD #335 LYNWOOD, CA 90262
Location Phone
(310) 438-3645
Location Fax
(310) 438-3699
Mailing Address
2625 W. BEVERLY BLVD MONTEBELLO, CA 90640
Mailing Phone
(323) 727-2887
Mailing Fax
(310) 438-3699
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-19-2021
Last Update Date
02-19-2021
Code Navigator



Beverly Orthopedic Laboratory Inc is a medicare supplier with PTAN 21610635 who does not accept Medicare assignment for all durable medical equipment and supplies. The provider may not accept the Medicare allowable as payment in full and may collect additional payment directly from the patient, and/or charge more than the Medicare allowable.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Breast Prostheses and/or Accessories or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.

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

Prosthetic/Orthotic Supplier

Taxonomy Code
335E00000X
Type
Suppliers
Taxonomy Description
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QP2000XAmbulatory Health Care Facilities

Clinic/Center
Physical Therapy

 

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.

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

MR. SANJAY SURESH KAWANKAR CD, BO CPO

Authorized Official Title
CEO, CFO, PRACTICE MANAGER
Authorized Official Phone
(323) 727-2887

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
XC0008150MEDICAID (05)CA 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
21610635
Accepts Medicare Assignment
NO
Specialities List
Orthotic Personnel, Prosthetic Personnel.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Breast Prostheses and/or Accessories - Prosthetic bra, Surgical bra
  • Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
  • Lymphedema Compression Treatment Items -

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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 1871186981, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
1
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 7 → 14 → 5 1 → 2 6 → 12 → 3 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 1 + 4 + 1 + 2 + 8 + 1 + 2 + 9 + 1 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1871186981.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Cardiovascular Disease)
3737 MARTIN LUTHER KING JR BLVD, STE 401
LYNWOOD, CA 90262
Internal Medicine (Cardiovascular Disease)
3737 MARTIN LUTHER KING JR BLVD, SUITE 401
LYNWOOD, CA 90262
Radiology (Diagnostic Radiology)
3737 MARTIN LUTHER KING JR BLVD, SUITE 104
LYNWOOD, CA 90262
Nurse Practitioner
3737 MARTIN LUTHER KING JR BLVD, 605
LYNWOOD, CA 90262
Nurse Practitioner
3737 MARTIN LUTHER KING JR BLVD, 605
LYNWOOD, CA 90262
Specialist
3737 MARTIN LUTHER KING JR BLVD, SUITE #604
LYNWOOD, CA 90262
Psychologist (Clinical)
3737 MARTIN LUTHER KING JR BLVD, #385
LYNWOOD, CA 90262
Pharmacy (Community/Retail Pharmacy)
3737 MARTIN LUTHER KING JR BLVD, SUITE 101
LYNWOOD, CA 90262
Psychologist (Clinical Child & Adolescent)
3737 MARTIN LUTHER KING JR BLVD, SUITE 612
LYNWOOD, CA 90262
Social Worker (Clinical)
3737 MARTIN LUTHER KING JR BLVD, SUITE 550
LYNWOOD, CA 90262
Community/Behavioral Health
3737 MARTIN LUTHER KING JR BLVD, SUITE 500
LYNWOOD, CA 90262
General Practice
3737 MARTIN LUTHER KING JR BLVD, SUITE 106
LYNWOOD, CA 90262
Physician Assistant (Medical)
3737 MARTIN LUTHER KING JR BLVD, SUITE 106
LYNWOOD, CA 90262
Clinic/Center (Urgent Care)
3737 MARTIN LUTHER KING JR BLVD, SUITE 401
LYNWOOD, CA 90262
Rehabilitation Practitioner
3737 MARTIN LUTHER KING JR BLVD, SUITE 500
LYNWOOD, CA 90262
Marriage & Family Therapist
3737 MARTIN LUTHER KING JR BLVD, 550
LYNWOOD, CA 90262
Marriage & Family Therapist
3737 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262
Marriage & Family Therapist
3737 MARTIN LUTHER KING JR BLVD, SUITE 550
LYNWOOD, CA 90262
Case Manager/Care Coordinator
3737 MARTIN LUTHER KING JR BLVD, #421
LYNWOOD, CA 90262
Case Manager/Care Coordinator
3737 MARTIN LUTHER KING JR BLVD
LYNWOOD, CA 90262

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871186981, enumerated as an "organization" on February 19, 2021.

The provider is located at 3737 MARTIN LUTHER KING JR BLVD #335 LYNWOOD, CA 90262 and the phone number is (310) 438-3645.

Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.