VENICE MEDICAL & MENTAL HEALTH SERVICES
NPI 1114096872
Clinic/Center - Primary Care in Venice, CA
NPI Status: Active since November 07, 2006
Contact Information
717 LINCOLN BLVD
VENICE, CA
ZIP 90291
Phone: (310) 399-9883
Fax: (310) 399-9678
- Organization
- Clinic/Center
- Primary Care
About VENICE MEDICAL & MENTAL HEALTH SERVICES
This page provides the complete NPI Profile along with additional information for Venice Medical & Mental Health Services, a primary care provider established in Venice, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1114096872 assigned on November 2006. The practitioner's primary taxonomy code is 261QP2300X with license number 960001025 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The provider's is doing business as Venice Medical & Mental Health Services. The authorized official of this NPI record is Seanjay Ramanand Sharma (Director)
- NPI
- 1114096872
- Provider Legal Name
- EL DORADO COMMUNITY SERVICE CENTER
- Other Organization Name
- VENICE MEDICAL & MENTAL HEALTH SERVICES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 717 LINCOLN BLVD VENICE, CA 90291
- Location Phone
- (310) 399-9883
- Location Fax
- (310) 399-9678
- Mailing Address
- PO BOX 801809 VALENCIA, CA 91380
- Mailing Phone
- (661) 254-6630
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-07-2006
- Last Update Date
- 01-31-2017
- Code Navigator
A primary care provider (PCP) like Venice Medical & Mental Health Services 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
- License No.
- 960001025
- License State
- CA
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.
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 |
|---|---|---|---|
| CMM70719F | MEDICAID (05) | CA | |
| W7305D | MEDICARE PIN (08) |
Reviews for VENICE MEDICAL & MENTAL HEALTH SERVICES
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
| 1 | 1 | 1 | 4 | 0 | 9 | 6 | 8 | 7 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 0 | 9 | 12 | 8 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 0 + 9 + 1 + 2 + 8 + 1 + 4 + 24 = 58 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 58 = 2 | 2 | ||||||||
The NPI number 1114096872 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407043185 | GERTRUDE BRIGGS Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1154518835 | TY'SHUNNA JACKSON Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1508053281 | BLANCA ROMERO Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1598953812 | VIVIAN BROWN Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1811149503 | DENISE WILSON Individual | Counselor | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1740562081 | MR. FARGO MICHAEL LIVINGSTON B.A. Individual | Community Health Worker | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1689067894 | STAN CARL PERRYMAN II AOD COUNSELOR Individual | Case Manager/Care Coordinator | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1851774913 | WADE TAYLOR CADC-CAS Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1184179525 | AMERICAN HEALTH SERVICES Organization | Exclusive Provider Organization | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1730636598 | DANIEL BOLANDER Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1588016489 | CESIA DELACRUZ LVN Individual | Licensed Vocational Nurse | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1093360331 | SANDRA DIANE KELLAR RADT Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1366512550 | AMERICAN HEALTH SERVICES LLC Organization | Clinic/Center (Rehabilitation, Substance Use Disorder) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1194323659 | ANTONIO DE JESUS SANCHEZ Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1811599624 | EDWARD MICHAEL RAMIREZ JR. Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1548855166 | LAKEISHA MORGAN Individual | Licensed Vocational Nurse | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1780266320 | JENNY DE LOERA Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1184144826 | ESTEFANIA BERNABE RADT Individual | Counselor (Addiction (Substance Use Disorder)) | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
| 1477275527 | GWANESHIA S COMPTON LVN Individual | Licensed Vocational Nurse | 717 LINCOLN BLVD VENICE, CA 90291 (310) 399-9883 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114096872, enumerated in the NPI registry as an "organization" on November 07, 2006
The provider is located at 717 Lincoln Blvd Venice, Ca 90291 and the phone number is (310) 399-9883
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
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 07, 2006. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.