NEW VALLEY PEDIATRIC CLINIC
NPI 1003301573
Clinic/Center - Primary Care in La Puente, CA

NPI Status: Active since June 27, 2018

Contact Information

1840 N HACIENDA BLVD STE 4
LA PUENTE, CA
ZIP 91744
Phone: (626) 727-2150

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 05D2153809
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-29-2026

About NEW VALLEY PEDIATRIC CLINIC

This page provides the complete NPI Profile along with additional information for New Valley Pediatric Clinic, a primary care provider established in La Puente, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1003301573 assigned on June 2018. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as New Valley Pediatric Clinic. The authorized official of this NPI record is Dr. Shams Mousavilar (Pediatrician)

NPI
1003301573
Provider Legal Name
SHAMS A. MOUSAVILAR,MD,INC.
Other Organization Name
NEW VALLEY PEDIATRIC CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1840 N HACIENDA BLVD STE 4 LA PUENTE, CA 91744
Location Phone
(626) 727-2150
Mailing Address
1840 N HACIENDA BLVD STE 4 LA PUENTE, CA 91744
Mailing Phone
(626) 727-2150
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-27-2018
Last Update Date
06-27-2018
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A primary care provider (PCP) like New Valley Pediatric Clinic 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 .

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

Clinic/Center Primary Care

Taxonomy Code
261QP2300X
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

DR. SHAMS MOUSAVILAR

Authorized Official Title
PEDIATRICIAN
Authorized Official Phone
(626) 727-2150

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
05D2153809
Facility Type
Physician Office
Certificate Effective Date
August 30, 2024
Certificate Expiration Date
August 29, 2026
Laboratory Director
SHAMS MOUSAVILAR
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to New Valley Pediatric Clinic 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 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.
1003301573
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003602514
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 6 + 0 + 2 + 5 + 1 + 4 + 24 = 47
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 47 = 33

The NPI number 1003301573 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568400505 SHAMS AL-SADAT MOUSAVILAR M.D
Individual
Pediatrics1840 N HACIENDA BLVD STE 4
LA PUENTE, CA 91744
(626) 727-2150

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003301573, enumerated in the NPI registry as an "organization" on June 27, 2018

The provider is located at 1840 N Hacienda Blvd Ste 4 La Puente, Ca 91744 and the phone number is (626) 727-2150

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 05D2153809 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..

This NPI record was last updated on June 27, 2018. 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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