AVALON WOUND CARE INC
NPI 1972354959
Clinic/Center - Health Service in Burbank, CA

NPI Status: Active since March 28, 2024

Contact Information

4001 W ALAMEDA AVE STE 100
BURBANK, CA
ZIP 91505
Phone: (818) 588-3300

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  • Organization
  • Clinic/Center
  • Health Service
  • CLIA Number: 05D2313747
  • CLIA Cert. Type: Other - WOUND CARE
  • CLIA Exp. Date: 11-05-2026

About AVALON WOUND CARE INC

This page provides the complete NPI Profile along with additional information for Avalon Wound Care Inc, a provider established in Burbank, California operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1972354959 assigned on March 2024. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Tatevik Gevorgyan (Ceo)

NPI
1972354959
Provider Name
AVALON WOUND CARE INC
Entity Type
Organization
Location Address
4001 W ALAMEDA AVE STE 100 BURBANK, CA 91505
Location Phone
(818) 588-3300
Mailing Address
4001 W ALAMEDA AVE STE 100 BURBANK, CA 91505
Mailing Phone
(818) 588-3300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-28-2024
Last Update Date
03-28-2024
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities

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

TATEVIK GEVORGYAN

Authorized Official Title
CEO
Authorized Official Phone
(818) 588-3300

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
05D2313747
Facility Type
Other - WOUND CARE
Certificate Effective Date
November 06, 2024
Certificate Expiration Date
November 05, 2026
Laboratory Director
MARDIROS MIHRANIAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Avalon Wound Care 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 1972354959, we treat the final digit (9) 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 71. The final step is to find the difference between that total and the next multiple of ten (80 - 71 = 9).

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

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 + 6 + 5 + 8 + 9 + 1 + 0 + 24 = 71

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

The next multiple of ten after 71 is 80. The difference is the calculated check digit.

80 - 71 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1972354959.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972354959, enumerated as an "organization" on March 28, 2024.

The provider is located at 4001 W ALAMEDA AVE STE 100 BURBANK, CA 91505 and the phone number is (818) 588-3300.

Clinic/Center with taxonomy code 261QH0100X and a focus in Health Service.