INDEPENDENCE COMMUNITY TREATMENT CLINIC
NPI 1235352451
Clinic/Center - Community Health in Pacoima, CA

NPI Status: Active since April 10, 2007

Contact Information

12450 VAN NUYS BLVD
PACOIMA, CA
ZIP 91331
Phone: (818) 776-1755

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  • Organization
  • Clinic/Center
  • Community Health

About INDEPENDENCE COMMUNITY TREATMENT CLINIC

This page provides the complete NPI Profile along with additional information for Independence Community Treatment Clinic, a primary care provider established in Pacoima, California operating as a Clinic/center, focusing in community health . The healthcare provider is registered in the NPI registry with number 1235352451 assigned on April 2007. The practitioner's primary taxonomy code is 261QC1500X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Alex Branzburg (Program Director)

NPI
1235352451
Provider Name
INDEPENDENCE COMMUNITY TREATMENT CLINIC
Entity Type
Organization
Location Address
12450 VAN NUYS BLVD PACOIMA, CA 91331
Location Phone
(818) 776-1755
Mailing Address
19231 VICTORY BLVD SUITE 554 RESEDA, CA 91335
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-10-2007
Last Update Date
04-03-2008
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A primary care provider (PCP) like Independence Community Treatment 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 Community Health

Taxonomy Code
261QC1500X
Type
Ambulatory Health Care Facilities
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.

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

ALEX BRANZBURG

Authorized Official Title
PROGRAM DIRECTOR
Authorized Official Phone
(818) 776-1755

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
CMM70956FMEDICAID (05)CA 

Reviews for INDEPENDENCE COMMUNITY TREATMENT CLINIC

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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.
1235352451
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265654410
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 6 + 5 + 4 + 4 + 1 + 0 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1235352451 is valid because the calculated check digit 1 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
1619993722DR. RONEN ALON M.D.
Individual
Psychiatry & Neurology (Psychiatry)12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331
(818) 896-1161
1881612281DR. MARIA LONGHITANO M.D.
Individual
Psychiatry & Neurology (Psychiatry)12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331
(818) 896-1161
1992848485DR. AILEEN GARIBYAN PSYD
Individual
Psychologist (Clinical)12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331
(818) 896-1161
1275662223 HILDA QUIGLEY B.A.
Individual
Counselor (Mental Health)12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331
(818) 896-1161
1548399280 KYLIE JO THOMPSON
Individual
Counselor (Mental Health)12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331
(818) 896-1161
1396874277MS. LESLIE SYERENA COOPER LVN
Individual
Counselor (Mental Health)12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331
(818) 896-1161
1144350539 MOLLY ANN BARTOS
Individual
Counselor (Mental Health)12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331
(818) 896-1161
1609906486MS. TRACY ANN ANDERSON LVN
Individual
Counselor (Mental Health)12450 VAN NUYS BLVD
PACOIMA, CA 91331
(818) 896-1161
1750412490MISS CHERYL SAMUELSON B.A.
Individual
Counselor (Mental Health)12450 VAN NUYS BLVD SUITE #200
PACOIMA, CA 91331
(818) 896-1161
1396876942 PRISCILLA POWELL
Individual
Counselor (Mental Health)12450 VAN NUYS BLVD SUITE200
PACOIMA, CA 91331
(818) 896-1161
1336270024MRS. PATTI ANN PETERSON L.V.N.
Individual
Licensed Vocational Nurse12450 VAN NUYS BLVD
PACOIMA, CA 91331
(818) 896-8366
1568593101 MARISSA ANNE CORDERO M.A.
Individual
Marriage & Family Therapist12450 VAN NUYS BLVD SUITE 100
PACOIMA, CA 91331
(818) 896-8366
1073644746MISS NINA MARIE SOLIS
Individual
Counselor (Mental Health)12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331
(818) 896-1161
1346371044MS. SHARYN FELICE SLAVIN LCSW
Individual
Social Worker (Clinical)12450 VAN NUYS BLVD SUITE 100
PACOIMA, CA 91331
(818) 896-8366
1487785143 JOSE G TOVAR
Individual
Counselor (Mental Health)12450 VAN NUYS BLVD
PACOIMA, CA 91331
(818) 896-1161
1659402329MRS. MARITHZA GUZMAN
Individual
Counselor12450 VAN NUYS BLVD SUITE 100
PACOIMA, CA 91331
(818) 896-8366
1245361559MS. TARYN ILANA KLEIN-WACHS M.A.
Individual
Rehabilitation Practitioner12450 VAN NUYS BLVD
PACOIMA, CA 91331
(818) 896-1161
1447381512 JACQUELYN KAY GREEN M.D.
Individual
Psychiatry & Neurology (Psychiatry)12450 VAN NUYS BLVD
PACOIMA, CA 91331
(818) 896-8366
1487785606MR. RYAN NORDAHL CHRISTINE B.A.
Individual
Counselor (Mental Health)12450 VAN NUYS BLVD SUITE 200
PACOIMA, CA 91331
(818) 896-1161
1386775518MRS. MARTHA LOUISE FENG MFT
Individual
Marriage & Family Therapist12450 VAN NUYS BLVD
PACOIMA, CA 91331
(818) 896-8366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235352451, enumerated in the NPI registry as an "organization" on April 10, 2007

The provider is located at 12450 Van Nuys Blvd Pacoima, Ca 91331 and the phone number is (818) 776-1755

This medical organization specializes in Clinic/Center with taxonomy code 261QC1500X with a focus in Community Health

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 April 10, 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].
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.