INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP
NPI 1972624955
Internal Medicine - Adolescent Medicine in Panorama City, CA

NPI Status: Active since April 03, 2007

Contact Information

14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA
ZIP 91402
Phone: (310) 553-5203

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  • Organization
  • Internal Medicine
  • Adolescent Medicine
  • CLIA Number: 05D2269612
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-28-2026

About INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Innovative Medical Solutions Inc A Medical Group, an internist established in Panorama City, California operating as a Internal Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1972624955 assigned on April 2007. The practitioner's primary taxonomy code is 207RA0000X with license number G78454 (CA). The provider is registered as an organization and their NPI record was last updated 2 years ago. Innovative Medical Solutions Inc A Medical Group operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Glenn A Marshak M.d. (Owner)

NPI
1972624955
Provider Name
INNOVATIVE MEDICAL SOLUTIONS INC A MEDICAL GROUP
Entity Type
Organization
Location Address
14860 ROSCOE BLVD STE 200 PANORAMA CITY, CA 91402
Location Phone
(310) 553-5203
Mailing Address
PO BOX 15655 BEVERLY HILLS, CA 90209
Mailing Phone
(310) 553-5203
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-03-2007
Last Update Date
09-18-2024
Code Navigator

An internist like Innovative Medical Solutions Inc A Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

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

Internal Medicine Adolescent Medicine

Taxonomy Code
207RA0000X
Type
Allopathic & Osteopathic Physicians
License No.
G78454
License State
CA
Taxonomy Description
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

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. GLENN A MARSHAK M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(310) 553-5203

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
05D2269612
Facility Type
Physician Office
Certificate Effective Date
September 29, 2024
Certificate Expiration Date
September 28, 2026
Laboratory Director
GLENN A. MARSHAK
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Innovative Medical Solutions Inc A Medical Group 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 1972624955, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).

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
6
Doubled → 12 → 1 + 2
Pos 6
2
Unchanged
Pos 7
4
Doubled → 8
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
5
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 6 → 12 → 3 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 + 1 + 2 + 2 + 8 + 9 + 1 + 0 + 24 = 65

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

The next multiple of ten after 65 is 70. The difference is the calculated check digit.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1972624955.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Internal Medicine
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Internal Medicine
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Physician Assistant (Medical)
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Psychiatry & Neurology (Neurology)
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Internal Medicine (Cardiovascular Disease)
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Internal Medicine
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Hospitalist
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Internal Medicine (Endocrinology, Diabetes & Metabolism)
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Family Medicine
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Clinic/Center
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402
Family Medicine
14860 ROSCOE BLVD STE 200
PANORAMA CITY, CA 91402

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972624955, enumerated as an "organization" on April 03, 2007.

The provider is located at 14860 ROSCOE BLVD STE 200 PANORAMA CITY, CA 91402 and the phone number is (310) 553-5203.

Internal Medicine with taxonomy code 207RA0000X and a focus in Adolescent Medicine.