SOUTHERN CALIFORNIA PHYSICIAN ASSISTANT MEDICAL GROUP PC
NPI 1235751405
Physician Assistant in Inglewood, CA

NPI Status: Active since May 11, 2020

Contact Information

645 AERICK ST STE 3
INGLEWOOD, CA
ZIP 90301
Phone: (310) 431-4926

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  • Organization
  • Physician Assistant
  • CLIA Number: 05D2289067
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 09-04-2025

About SOUTHERN CALIFORNIA PHYSICIAN ASSISTANT MEDICAL GROUP PC

This page provides the complete NPI Profile along with additional information for Southern California Physician Assistant Medical Group Pc, a primary care provider established in Inglewood, California operating as a Physician Assistant. The healthcare provider is registered in the NPI registry with number 1235751405 assigned on May 2020. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an organization and their NPI record was last updated one year 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 Joseph David Silverstein Pa (President)

NPI
1235751405
Provider Name
SOUTHERN CALIFORNIA PHYSICIAN ASSISTANT MEDICAL GROUP PC
Entity Type
Organization
Location Address
645 AERICK ST STE 3 INGLEWOOD, CA 90301
Location Phone
(310) 431-4926
Mailing Address
645 AERICK ST STE 3 INGLEWOOD, CA 90301
Mailing Phone
(310) 431-4926
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2020
Last Update Date
08-19-2024
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A primary care provider (PCP) like Southern California Physician Assistant Medical Group Pc 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

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Group Taxonomy 193400000X MULTIPLE 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.

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

JOSEPH DAVID SILVERSTEIN PA

Authorized Official Title
PRESIDENT
Authorized Official Phone
(805) 732-9712

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
05D2289067
Facility Type
Physician Office
Certificate Effective Date
September 05, 2023
Certificate Expiration Date
September 04, 2025
Laboratory Director
AMIN CHIRAG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Southern California Physician Assistant Medical Group Pc 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.

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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.
1235751405
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265145240
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 1 + 4 + 5 + 2 + 4 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1235751405 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1740648591AYONNA N. TAYLOR, D.D.S., A PROFESSIONAL CORP.
Organization
Clinic/Center (Dental)645 AERICK ST STE 3
INGLEWOOD, CA 90301
(323) 678-4779
1558049833 LOVETH AMAKOR NP
Individual
Nurse Practitioner (Family)645 AERICK ST STE 3
INGLEWOOD, CA 90301
(310) 431-4480
1063454916 JOSEPH DAVID SILVERSTEIN P.A.
Individual
Physician Assistant645 AERICK ST STE 3
INGLEWOOD, CA 90301
(310) 431-4926
1053145698CA PHYSICIAN ASSISTANT COOPERATIVE HEALTHCARE, PC
Organization
Physician Assistant645 AERICK ST STE 3
INGLEWOOD, CA 90301
(310) 431-4926

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235751405, enumerated in the NPI registry as an "organization" on May 11, 2020

The provider is located at 645 Aerick St Ste 3 Inglewood, Ca 90301 and the phone number is (310) 431-4926

This medical organization specializes in Physician Assistant with taxonomy code 363A00000X

The provider's CLIA number is 05D2289067 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 11, 2020. 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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