ALLAN S WIRTZER MD
NPI 1235335902
Dermatology - Procedural Dermatology in Sherman Oaks, CA
NPI Status: Active since June 21, 2007
Contact Information
4836 VAN NUYS BLVD
SHERMAN OAKS, CA
ZIP 91403
Phone: (818) 907-7546
Fax: (818) 907-9506
- Organization
- Dermatology
- Procedural Dermatology
About ALLAN S WIRTZER MD
This page provides the complete NPI Profile along with additional information for Allan S Wirtzer Md, a provider established in Sherman Oaks, California operating as a Dermatology, focusing in procedural dermatology . The healthcare provider is registered in the NPI registry with number 1235335902 assigned on June 2007. The practitioner's primary taxonomy code is 207NS0135X with license number G21007 (CA). The provider is registered as an organization and their NPI record was last updated 17 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 other name is Allan S Wirtzer Md. The authorized official of this NPI record is Mrs. Rocelyn Lucas Taylor (Billing Supervisor)
- NPI
- 1235335902
- Provider Legal Name
- MID VALLEY DERMATOLOGY
- Other Organization Name
- ALLAN S WIRTZER MD
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403
- Location Phone
- (818) 907-7546
- Location Fax
- (818) 907-9506
- Mailing Address
- 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403
- Mailing Phone
- (818) 907-7546
- Mailing Fax
- (818) 907-9506
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-21-2007
- Last Update Date
- 11-11-2008
- Code Navigator
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
Dermatology Procedural Dermatology
- Taxonomy Code
- 207NS0135X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- G21007
- License State
- CA
- Taxonomy Description
- Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
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.
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 |
|---|---|---|---|
| A41138 | OTHER (01) | CA | ALLAN S. WIRTZER, MD, MEDICAL DIRECTOR UPIN# |
| 1326003161 | OTHER (01) | CA | ALLAN S. WIRTZER, MD, MEDICAL DIRECTOR NPI# |
| G21007 | OTHER (01) | CA | ALLAN S. WIRTZER, MD, MEDICAL DIRECTOR ,CA LIC# |
| W2835 | MEDICARE 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. | |||||||||
| 1 | 2 | 3 | 5 | 3 | 3 | 5 | 9 | 0 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 6 | 3 | 10 | 9 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 6 + 3 + 1 + 0 + 9 + 0 + 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 1235335902 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 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861456998 | ROBERT C HIGHAM PA Individual | Physician Assistant (Medical) | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1295792505 | ALLAN S. WIRTZER Organization | Clinic/Center (Ambulatory Surgical) | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1053629121 | MS. JACLYN SONIA AGOPIAN MPAP, PA-C Individual | Physician Assistant (Medical) | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1104053743 | DR. ELISE HERRO M.D. Individual | Dermatology | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1629465778 | ADAM BRODY ARONSON M.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1043734098 | HEATHER TRAN PA-C Individual | Physician Assistant | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1407376940 | JESSICA CHARLOTTE HEROLD Individual | Physician Assistant | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1215286083 | ASI SURGERY CENTER, INC. Organization | Clinic/Center (Ambulatory Surgical) | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1558456517 | ILYA REYTER M.D. Individual | Dermatology (MOHS-Micrographic Surgery) | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1215564877 | JASMINE KHACHATRIAN PA Individual | Physician Assistant | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1629496823 | DR. RENEE CILIA SHEININ M.D. Individual | Dermatology | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1689454332 | LISETTE RENEE ARVIZU FNP Individual | Nurse Practitioner (Family) | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
| 1023377082 | AMERICAN SKIN INSTITUTE INC. Organization | Dermatology | 4836 VAN NUYS BLVD SHERMAN OAKS, CA 91403 (818) 907-7546 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235335902, enumerated in the NPI registry as an "organization" on June 21, 2007
The provider is located at 4836 Van Nuys Blvd Sherman Oaks, Ca 91403 and the phone number is (818) 907-7546
This medical organization specializes in Dermatology with taxonomy code 207NS0135X with a focus in Procedural Dermatology
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 June 21, 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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