ACADEMY PHYSICIANS OF DERMATOLOGY MEDICAL GROUP
NPI 1063694297
Dermatology - Dermatopathology in Granada Hills, CA

NPI Status: Active since November 29, 2007

Contact Information

10515 BALBOA BLVD STE 250
GRANADA HILLS, CA
ZIP 91344
Phone: (818) 368-5175
Fax: (818) 368-5111

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  • Organization
  • Dermatology
  • Dermatopathology

About ACADEMY PHYSICIANS OF DERMATOLOGY MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Academy Physicians Of Dermatology Medical Group, a provider established in Granada Hills, California operating as a Dermatology, focusing in dermatopathology . The healthcare provider is registered in the NPI registry with number 1063694297 assigned on November 2007. The practitioner's primary taxonomy code is 207ND0900X with license number C37351 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Academy Physicians Of Dermatology Medical Group. The authorized official of this NPI record is Dr. Steven Naltsas Md (Owner)

NPI
1063694297
Provider Legal Name
STEVEN NALTSAS MD INC
Other Organization Name
ACADEMY PHYSICIANS OF DERMATOLOGY MEDICAL GROUP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
10515 BALBOA BLVD STE 250 GRANADA HILLS, CA 91344
Location Phone
(818) 368-5175
Location Fax
(818) 368-5111
Mailing Address
10515 BALBOA BLVD STE 250 GRANADA HILLS, CA 91344
Mailing Phone
(818) 368-5175
Mailing Fax
(818) 368-5111
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-29-2007
Last Update Date
03-18-2009
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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

Dermatology Dermatopathology

Taxonomy Code
207ND0900X
Type
Allopathic & Osteopathic Physicians
License No.
C37351
License State
CA
Taxonomy Description
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.

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

DR. STEVEN NALTSAS MD

Authorized Official Title
OWNER
Authorized Official Phone
(818) 368-5175

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
W8235MEDICARE PIN (08)CA 

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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.
1063694297
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201231298218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 2 + 3 + 1 + 2 + 9 + 8 + 2 + 1 + 8 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1063694297 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1770505299DR. STEVE NALTSAS M.D.
Individual
Specialist10515 BALBOA BLVD STE 250
GRANADA HILLS, CA 91344
(818) 368-5175
1568512697DR. ARASH RAZI DDS
Individual
Dentist (General Practice)10515 BALBOA BLVD STE 250
GRANADA HILLS, CA 91344
(818) 365-8600
1477985679ARASH RAZI, DDS., INC
Organization
Dentist10515 BALBOA BLVD STE 250
GRANADA HILLS, CA 91344
(818) 365-8600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063694297, enumerated in the NPI registry as an "organization" on November 29, 2007

The provider is located at 10515 Balboa Blvd Ste 250 Granada Hills, Ca 91344 and the phone number is (818) 368-5175

This medical organization specializes in Dermatology with taxonomy code 207ND0900X with a focus in Dermatopathology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on November 29, 2007. 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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