PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER
NPI 1942593918
Radiology - Vascular & Interventional Radiology in Culver City, CA

NPI Status: Active since May 24, 2011

Contact Information

6076 BRISTOL PKWY STE 108
CULVER CITY, CA
ZIP 90230
Phone: (310) 348-9604

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  • Organization
  • Radiology
  • Vascular & Interventional Radiology
  • CLIA Number: 05D2035987
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-29-2028

About PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER

This page provides the complete NPI Profile along with additional information for Pacific Interventional Vascular Access Center, a provider established in Culver City, California operating as a Radiology, focusing in vascular & interventional radiology . The healthcare provider is registered in the NPI registry with number 1942593918 assigned on May 2011. The practitioner's primary taxonomy code is 2085R0204X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Pacific Interventional Vascular Access Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Pacific Interventional Vascular Access Center. The authorized official of this NPI record is Spencer Brown Md (Authorized Official)

NPI
1942593918
Provider Legal Name
PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER MEDICAL CORPORATION
Other Organization Name
PACIFIC INTERVENTIONAL VASCULAR ACCESS CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6076 BRISTOL PKWY STE 108 CULVER CITY, CA 90230
Location Phone
(310) 348-9604
Mailing Address
40 VALLEY STREAM PKWY SUITE 100 MALVERN, PA 19355
Mailing Phone
(610) 644-8900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-24-2011
Last Update Date
11-26-2024
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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

Radiology Vascular & Interventional Radiology

Taxonomy Code
2085R0204X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

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)
1207RC0000XAllopathic & Osteopathic Physicians

Internal Medicine
Cardiovascular Disease

 
22086S0129XAllopathic & Osteopathic Physicians

Surgery
Vascular Surgery

 

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

SPENCER BROWN MD

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(310) 348-9604

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
05D2035987
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 30, 2026
Certificate Expiration Date
January 29, 2028
Laboratory Director
SPENCER BROWN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Pacific Interventional Vascular Access Center 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 1942593918, we treat the final digit (8) 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

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
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 4 → 8 5 → 10 → 1 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 8 + 2 + 1 + 0 + 9 + 6 + 9 + 2 + 24 = 72

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

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1942593918.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Surgery
6076 BRISTOL PKWY STE 108
CULVER CITY, CA 90230

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942593918, enumerated as an "organization" on May 24, 2011.

The provider is located at 6076 BRISTOL PKWY STE 108 CULVER CITY, CA 90230 and the phone number is (310) 348-9604.

Radiology with taxonomy code 2085R0204X and a focus in Vascular & Interventional Radiology.