PARKSIDE MEDICAL GROUP INC
NPI 1891935862
Psychiatry & Neurology - Neurology in Upland, CA
NPI Status: Active since March 03, 2009
Contact Information
1310 SAN BERNARDINO ROAD
SUITE 102
UPLAND, CA
ZIP 91786
Phone: (909) 608-2008
Fax: (909) 608-7705
- Organization
- Psychiatry & Neurology
- Neurology
- CLIA Number: 05D1099304
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-10-2027
About PARKSIDE MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Parkside Medical Group Inc, a provider established in Upland, California operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1891935862 assigned on March 2009. The practitioner's primary taxonomy code is 2084N0400X with license number A33406 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Parkside Medical Group 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. Mohsen Ibrahim Ali M.d. (Owner)
- NPI
- 1891935862
- Provider Name
- PARKSIDE MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 1310 SAN BERNARDINO ROAD SUITE 102 UPLAND, CA 91786
- Location Phone
- (909) 608-2008
- Location Fax
- (909) 608-7705
- Mailing Address
- 1310 SAN BERNARDINO ROAD SUITE 102 UPLAND, CA 91786
- Mailing Phone
- (909) 608-2008
- Mailing Fax
- (909) 608-7705
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-03-2009
- Last Update Date
- 06-18-2015
- 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
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A33406
- License State
- CA
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | A101427 (CA) |
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.
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
- 05D1099304
- Facility Type
- Physician Office
- Certificate Effective Date
- May 11, 2025
- Certificate Expiration Date
- May 10, 2027
- Laboratory Director
- MOHSEN I. ALI, MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Parkside Medical Group Inc 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 1891935862, 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 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 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 68 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891935862, enumerated as an "organization" on March 03, 2009.
The provider is located at 1310 SAN BERNARDINO ROAD SUITE 102 UPLAND, CA 91786 and the phone number is (909) 608-2008.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
