FIDELIS DIAGNOSTICS, INC.
NPI 1962460071
Specialist/Technologist, Other - Electroneurodiagnostic in Los Angeles, CA

NPI Status: Active since May 01, 2006

Contact Information

11601 WILSHIRE BLVD
SUITE 500
LOS ANGELES, CA
ZIP 90025
Phone: (877) 408-2488
Fax: (866) 776-6641

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  • Organization
  • Specialist/Technologist, Other
  • Electroneurodiagnostic

About FIDELIS DIAGNOSTICS, INC.

This page provides the complete NPI Profile along with additional information for Fidelis Diagnostics, Inc., a provider established in Los Angeles, California operating as a Specialist/technologist, Other, focusing in electroneurodiagnostic . The healthcare provider is registered in the NPI registry with number 1962460071 assigned on May 2006. The practitioner's primary taxonomy code is 246ZE0600X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mark Dorner (Coo)

NPI
1962460071
Provider Name
FIDELIS DIAGNOSTICS, INC.
Entity Type
Organization
Location Address
11601 WILSHIRE BLVD SUITE 500 LOS ANGELES, CA 90025
Location Phone
(877) 408-2488
Location Fax
(866) 776-6641
Mailing Address
11601 WILSHIRE BLVD SUITE 500 LOS ANGELES, CA 90025
Mailing Phone
(877) 408-2488
Mailing Fax
(866) 776-6641
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-01-2006
Last Update Date
07-17-2007
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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

Specialist/Technologist, Other Electroneurodiagnostic

Taxonomy Code
246ZE0600X
Type
Technologists, Technicians & Other Technical Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MARK DORNER

Authorized Official Title
COO
Authorized Official Phone
(877) 408-2488

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
ZZZ28892ZMEDICARE ID-TYPE UNSPECIFIED (04)CANHIC - NORTHERN
FTS129MEDICARE ID-TYPE UNSPECIFIED (04)TXTRAILBLAZER
TG482MEDICARE ID-TYPE UNSPECIFIED (04)CANHIC SOUTHERN
Z107386MEDICARE ID-TYPE UNSPECIFIED (04)AZNORIDIAN

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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 1962460071, 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 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
9
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
2
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 6 → 12 → 3 4 → 8 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 2 + 2 + 8 + 6 + 0 + 0 + 1 + 4 + 24 = 59

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

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1962460071.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physical Therapist
11601 WILSHIRE BLVD
LOS ANGELES, CA 90025
Physical Therapist
11601 WILSHIRE BLVD, STE 105
LOS ANGELES, CA 90025
Clinic/Center (Rehabilitation)
11601 WILSHIRE BLVD, STE 105
LOS ANGELES, CA 90025
Registered Nurse (Diabetes Educator)
11601 WILSHIRE BLVD, 5TH FLOOR
LOS ANGELES, CA 90025
Clinic/Center (Mental Health (Including Community Mental Health Center))
11601 WILSHIRE BLVD, 500
LOS ANGELES, CA 90025
Behavior Analyst
11601 WILSHIRE BLVD
LOS ANGELES, CA 90025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962460071, enumerated as an "organization" on May 01, 2006.

The provider is located at 11601 WILSHIRE BLVD SUITE 500 LOS ANGELES, CA 90025 and the phone number is (877) 408-2488.

Specialist/Technologist, Other with taxonomy code 246ZE0600X and a focus in Electroneurodiagnostic.

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