CERRITOS MEDICAL CENTER, INC
NPI 1871768663
Family Medicine in Cerritos, CA

NPI Status: Active since April 23, 2008

Contact Information

11911 ARTESIA BLVD
STE 101
CERRITOS, CA
ZIP 90701
Phone: (562) 402-7622
Fax: (562) 402-2452

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  • Organization
  • Family Medicine
  • CLIA Number: 05D0695473
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About CERRITOS MEDICAL CENTER, INC

This page provides the complete NPI Profile along with additional information for Cerritos Medical Center, Inc, a primary care provider established in Cerritos, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1871768663 assigned on April 2008. The practitioner's primary taxonomy code is 207Q00000X with license number G66684 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. Cerritos Medical Center, Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. John Shin Kim M.d. (Owner)

NPI
1871768663
Provider Name
CERRITOS MEDICAL CENTER, INC
Entity Type
Organization
Location Address
11911 ARTESIA BLVD STE 101 CERRITOS, CA 90701
Location Phone
(562) 402-7622
Location Fax
(562) 402-2452
Mailing Address
11911 ARTESIA BLVD STE 101 CERRITOS, CA 90701
Mailing Phone
(562) 402-7622
Mailing Fax
(562) 402-2452
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-23-2008
Last Update Date
04-23-2008
Code Navigator

A primary care provider (PCP) like Cerritos Medical Center, Inc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
G66684
License State
CA
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

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

DR. JOHN SHIN KIM M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(562) 402-7622

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
05D0695473
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
JOHN S. KIM, MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Cerritos Medical Center, Inc 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.

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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 1871768663, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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

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 + 1 + 4 + 6 + 1 + 6 + 6 + 1 + 2 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1871768663.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Physical Therapist
11911 ARTESIA BLVD, SUITE 207
CERRITOS, CA 90701
Family Medicine
11911 ARTESIA BLVD, #101
CERRITOS, CA 90701
Chiropractor
11911 ARTESIA BLVD
CERRITOS, CA 90701
Specialist
11911 ARTESIA BLVD, SUITE 104-B
CERRITOS, CA 90701
Hospice Care, Community Based
11911 ARTESIA BLVD, SUITE 104A
CERRITOS, CA 90701
Nurse Practitioner (Family)
11911 ARTESIA BLVD, STE#101
CERRITOS, CA 90701
Family Medicine
11911 ARTESIA BLVD, SUIT #101
CERRITOS, CA 90701
Clinic/Center (Health Service)
11911 ARTESIA BLVD, SUITE 105
CERRITOS, CA 90701
Physical Therapist
11911 ARTESIA BLVD, SUITE 207
CERRITOS, CA 90701
Hospice Care, Community Based
11911 ARTESIA BLVD, SUITE 208
CERRITOS, CA 90701
Nurse Practitioner (Family)
11911 ARTESIA BLVD
CERRITOS, CA 90701
Ophthalmology
11911 ARTESIA BLVD, SUITE 102
CERRITOS, CA 90701
Nurse Practitioner (Family)
11911 ARTESIA BLVD
CERRITOS, CA 90701
Nurse Practitioner (Family)
11911 ARTESIA BLVD
CERRITOS, CA 90701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1871768663, enumerated as an "organization" on April 23, 2008.

The provider is located at 11911 ARTESIA BLVD STE 101 CERRITOS, CA 90701 and the phone number is (562) 402-7622.

Family Medicine with taxonomy code 207Q00000X.