STEPHANIE J. MARTIN INC
NPI 1962075754
Dermatology in Encino, CA

NPI Status: Active since July 20, 2021

Contact Information

16550 VENTURA BLVD STE 120
ENCINO, CA
ZIP 91436
Phone: (818) 208-9204
Fax: (818) 208-9204

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  • Organization
  • Dermatology
  • CLIA Number: 05D2255566
  • CLIA Cert. Type: Compliance
  • CLIA Exp. Date: 09-13-2025

About STEPHANIE J. MARTIN INC

Stephanie J. Martin Inc is a provider established in Encino, California operating as a Dermatology. The healthcare provider is registered in the NPI registry with number 1962075754 assigned on July 2021. The practitioner's primary taxonomy code is 207N00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Stephanie J. Martin Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Stephanie J Martin Md (Md/ceo)

NPI
1962075754
Provider Name
STEPHANIE J. MARTIN INC
Entity Type
Organization
Location Address
16550 VENTURA BLVD STE 120 ENCINO, CA 91436
Location Phone
(818) 208-9204
Location Fax
(818) 208-9204
Mailing Address
16550 VENTURA BLVD STE 120 ENCINO, CA 91436
Mailing Phone
(818) 208-9204
Mailing Fax
(818) 208-9204
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-20-2021
Last Update Date
07-20-2021
Code Navigator

A dermatologist like Stephanie J. Martin Inc is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

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. STEPHANIE J MARTIN MD

Authorized Official Title
MD/CEO
Authorized Official Phone
(713) 657-5776

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
05D2255566
Facility Type
Physician Office
Certificate Effective Date
September 14, 2023
Certificate Expiration Date
September 13, 2025
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Stephanie J. Martin Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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.
1962075754
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
291220710710
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 2 + 2 + 0 + 7 + 1 + 0 + 7 + 1 + 0 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1962075754 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1649708553DR. DAVE ALZONO ZARENO DPT
Individual
Physical Therapist16550 VENTURA BLVD STE 120
ENCINO, CA 91436
(818) 990-9930
1902676786 LAURA DUFOUR FNP
Individual
Nurse Practitioner (Family)16550 VENTURA BLVD STE 120
ENCINO, CA 91436
(818) 208-9204

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962075754, enumerated in the NPI registry as an "organization" on July 20, 2021

The provider is located at 16550 Ventura Blvd Ste 120 Encino, Ca 91436 and the phone number is (818) 208-9204

This medical organization specializes in Dermatology with taxonomy code 207N00000X

The provider's CLIA number is 05D2255566 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on July 20, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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