SAN GABRIEL VALLEY PERINATAL MEDICAL GROUP, INC
NPI 1154371623
Obstetrics & Gynecology - Maternal & Fetal Medicine in West Covina, CA

NPI Status: Active since May 12, 2006

Contact Information

1135 S SUNSET AVE
STE 402
WEST COVINA, CA
ZIP 91790
Phone: (626) 337-4425
Fax: (626) 337-4606

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  • Organization
  • Obstetrics & Gynecology
  • Maternal & Fetal Medicine
  • CLIA Number: 05D1051430
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-28-2026

About SAN GABRIEL VALLEY PERINATAL MEDICAL GROUP, INC

This page provides the complete NPI Profile along with additional information for San Gabriel Valley Perinatal Medical Group, Inc, a women's health care provider established in West Covina, California operating as a Obstetrics & Gynecology, focusing in maternal & fetal medicine . The healthcare provider is registered in the NPI registry with number 1154371623 assigned on May 2006. The practitioner's primary taxonomy code is 207VM0101X. The provider is registered as an organization and their NPI record was last updated 7 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 authorized official of this NPI record is Ms. Carmen O Avila (Office Manager)

NPI
1154371623
Provider Name
SAN GABRIEL VALLEY PERINATAL MEDICAL GROUP, INC
Entity Type
Organization
Location Address
1135 S SUNSET AVE STE 402 WEST COVINA, CA 91790
Location Phone
(626) 337-4425
Location Fax
(626) 337-4606
Mailing Address
1135 S SUNSET AVE STE 402 WEST COVINA, CA 91790
Mailing Phone
(626) 337-4425
Mailing Fax
(626) 337-4606
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2006
Last Update Date
06-20-2018
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Women's health care providers like San Gabriel Valley Perinatal Medical Group, Inc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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

Obstetrics & Gynecology Maternal & Fetal Medicine

Taxonomy Code
207VM0101X
Type
Allopathic & Osteopathic Physicians
License State
CA
Taxonomy Description
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

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

MS. CARMEN O AVILA

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(626) 337-4425

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
00A507640MEDICAID (05)CA 
=========OTHER (01)CATAX ID
00G794030MEDICAID (05)CA 
G71304OTHER (01)CABRENDA ROSS, M.D.

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
05D1051430
Facility Type
Physician Office
Certificate Effective Date
March 01, 2024
Certificate Expiration Date
February 28, 2026
Laboratory Director
MARIA HELLEN RODRIGUEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to San Gabriel Valley Perinatal Medical Group, 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.

Reviews for SAN GABRIEL VALLEY PERINATAL MEDICAL GROUP, INC

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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.
1154371623
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2110467264
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 6 + 7 + 2 + 6 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1154371623 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1336104272DR. CLARK OCHIKUBO MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)1135 S SUNSET AVE SUITE 406
WEST COVINA, CA 91790
(626) 813-3716
1558329623MR. KHAN JAVED HAMEED MD
Individual
Surgery (Vascular Surgery)1135 S SUNSET AVE SUITE 305
WEST COVINA, CA 91790
(626) 337-3500
1669430161 MADHU SHARMA MD
Individual
General Practice1135 S SUNSET AVE SUITE 405
WEST COVINA, CA 91790
(626) 960-2326
1851349187DR. ZIAD SAADI DABUNI M.D.
Individual
Internal Medicine1135 S SUNSET AVE
WEST COVINA, CA 91790
(626) 960-8614
1306895990DR. DAVID F BODE M.D.
Individual
Radiology (Body Imaging)1135 S SUNSET AVE STE 100
WEST COVINA, CA 91790
(626) 856-2215
1679525984DR. BRUCE DAVID SINDEL MD
Individual
Pediatrics (Neonatal-Perinatal Medicine)1135 S SUNSET AVE SUITE 406
WEST COVINA, CA 91790
(626) 813-3716
1154373207DR. PERPETUA ALEGRADO LAWAS-ALEJO
Individual
Pediatrics (Neonatal-Perinatal Medicine)1135 S SUNSET AVE
WEST COVINA, CA 91790
(626) 813-3716
1740227701DR. GILBERT I FURMAN M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1135 S SUNSET AVE STE 406
WEST COVINA, CA 91790
(626) 813-3716
1912096223DR. JEFFREY P PHELAN M.D.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)1135 S SUNSET AVE STE 402
WEST COVINA, CA 91790
(626) 337-4425
1306935689DR. MARK A CURRAN M.D.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)1135 S SUNSET AVE STE 402
WEST COVINA, CA 91790
(626) 337-4425
1164500211 HOOSHANG DEAH FARSHIDI MD
Individual
Obstetrics & Gynecology1135 S SUNSET AVE SUITE #303
W COVINA, CA 91790
(626) 856-3686
1821202060BRIAN J. LEBERTHON, MD., A MEDICAL
Organization
Internal Medicine (Hematology & Oncology)1135 S SUNSET AVE SUITE 207
WEST COVINA, CA 91790
(626) 338-9560
1952516494DR. HERBERT ANIBAL VASQUEZ M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)1135 S SUNSET AVE SUITE 406
WEST COVINA, CA 91790
(626) 813-3716
1053503011WILDON LIN MD, INC
Organization
Clinic/Center1135 S SUNSET AVE SUITE 307
WEST COVINA, CA 91790
(626) 962-1111
1255579322DAVID E ZINKE M D INC
Organization
Specialist1135 S SUNSET AVE SUITE 315
WEST COVINA, CA 91790
(626) 814-4721
1275777807H.DEAN FARSHIDI,MD.INC
Organization
Obstetrics & Gynecology1135 S SUNSET AVE #303
WEST COVINA, CA 91790
(626) 856-3686
1740516236LAKESIDE MEDICAL ASSOICATES, A MEDICAL GROUP, INC.
Organization
Radiology (Diagnostic Radiology)1135 S SUNSET AVE SUITE 100
WEST COVINA, CA 91790
(626) 856-2215
1194025858PACIFIC SLEEP MEDICINE, A MEDICAL CORP
Organization
Clinic/Center (Sleep Disorder Diagnostic)1135 S SUNSET AVE SUITE 307
WEST COVINA, CA 91790
(626) 480-0033
1164778759BILL W. TANG, MD A MED CORP
Organization
Clinic/Center (Medical Specialty)1135 S SUNSET AVE #206
WEST COVINA, CA 91790
(626) 338-3788
1659623379 LINDSAY ARELLANO PA-C
Individual
Physician Assistant (Medical)1135 S SUNSET AVE SUITE # 405
WEST COVINA, CA 91790
(626) 960-2326

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154371623, enumerated in the NPI registry as an "organization" on May 12, 2006

The provider is located at 1135 S Sunset Ave Ste 402 West Covina, Ca 91790 and the phone number is (626) 337-4425

This medical organization specializes in Obstetrics & Gynecology with taxonomy code 207VM0101X with a focus in Maternal & Fetal Medicine

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.

The provider's CLIA number is 05D1051430 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 May 12, 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.