DR. SHERVIN ALEXANDER ETEMAD MD
NPI 1972130011
General Practice in Los Angeles, CA

NPI Status: Active since March 26, 2020

Contact Information

1510 SAN PABLO ST STE 415
LOS ANGELES, CA
ZIP 90033
Phone: (203) 816-1441

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  • Individual
  • Male
  • General Practice
  • PECOS Enrolled

About SHERVIN ETEMAD

This page provides the complete NPI Profile along with additional information for Shervin Etemad, a primary care provider established in Los Angeles, California with a medical specialization in General Practice. The healthcare provider is registered in the NPI registry with number 1972130011 assigned on March 2020. The practitioner's primary taxonomy code is 208D00000X with license number A189034 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1972130011
Provider Name
DR. SHERVIN ALEXANDER ETEMAD MD
Gender
Male
Entity Type
Individual
Location Address
1510 SAN PABLO ST STE 415 LOS ANGELES, CA 90033
Location Phone
(203) 816-1441
Mailing Address
1510 SAN PABLO ST STE 415 LOS ANGELES, CA 90033
Mailing Phone
(203) 816-1441
Is Sole Proprietor?
No
Enumeration Date
03-26-2020
Last Update Date
05-07-2024
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A primary care provider (PCP) like Shervin Etemad 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 .

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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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
A189034
License State
CA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

Shervin Etemad is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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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 1972130011, 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 49. The final step is to find the difference between that total and the next multiple of ten (50 - 49 = 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
7
Doubled → 14 → 1 + 4
Pos 4
2
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
0
Doubled → 0
Pos 8
0
Unchanged
Pos 9
1
Doubled → 2
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 7 → 14 → 5 1 → 2 0 → 0 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 4 + 2 + 2 + 3 + 0 + 0 + 2 + 24 = 49

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

The next multiple of ten after 49 is 50. The difference is the calculated check digit.

50 - 49 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1972130011.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Plastic Surgery
1510 SAN PABLO ST STE 415
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1510 SAN PABLO ST STE 415
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1510 SAN PABLO ST STE 415
LOS ANGELES, CA 90033
Physician Assistant
1510 SAN PABLO ST STE 415
LOS ANGELES, CA 90033

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972130011, enumerated as an "individual" on March 26, 2020.

The provider is located at 1510 SAN PABLO ST STE 415 LOS ANGELES, CA 90033 and the phone number is (203) 816-1441.

General Practice with taxonomy code 208D00000X.