PEDIATRIC ASSOCIATES MEDICAL GROUP, INC.
NPI 1255366712
Clinic/Center - Primary Care in Sherman Oaks, CA
NPI Status: Active since July 12, 2006
Contact Information
4330 FULTON AVE
SHERMAN OAKS, CA
ZIP 91423
Phone: (818) 784-1102
Fax: (818) 784-1653
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 05D0560868
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-11-2025
About PEDIATRIC ASSOCIATES MEDICAL GROUP, INC.
This page provides the complete NPI Profile along with additional information for Pediatric Associates Medical Group, Inc., a primary care provider established in Sherman Oaks, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1255366712 assigned on July 2006. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Dr. Thomas A Glassman M.d. (Vice President Of Corporation)
- NPI
- 1255366712
- Provider Name
- PEDIATRIC ASSOCIATES MEDICAL GROUP, INC.
- Entity Type
- Organization
- Location Address
- 4330 FULTON AVE SHERMAN OAKS, CA 91423
- Location Phone
- (818) 784-1102
- Location Fax
- (818) 784-1653
- Mailing Address
- 4330 FULTON AVE SHERMAN OAKS, CA 91423
- Mailing Phone
- (818) 784-1102
- Mailing Fax
- (818) 784-1653
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-12-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A primary care provider (PCP) like Pediatric Associates Medical Group, Inc. 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
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
- 05D0560868
- Facility Type
- Physician Office
- Certificate Effective Date
- November 12, 2023
- Certificate Expiration Date
- November 11, 2025
- Laboratory Director
- DR. ILONA KLEINER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Pediatric Associates Medical Group, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 5 | 5 | 3 | 6 | 6 | 7 | 1 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 6 | 6 | 12 | 7 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 6 + 6 + 1 + 2 + 7 + 2 + 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 1255366712 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 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1750352829 | THOMAS A GLASSMAN M.D. Individual | Pediatrics | 4330 FULTON AVE SHERMAN OAKS, CA 91423 (818) 784-1102 |
| 1730150780 | DR. YOUNG-AE ANNE KWUN MD Individual | Pediatrics | 4330 FULTON AVE SHERMAN OAKS, CA 91423 (818) 784-1102 |
| 1043227143 | DR. ILONA KLEINER M.D. Individual | Pediatrics | 4330 FULTON AVE SHERMAN OAKS, CA 91423 (818) 784-1102 |
| 1689721839 | DR. MARIANNE CARRIE FINERMAN Individual | Pediatrics (Adolescent Medicine) | 4330 FULTON AVE SHERMAN OAKS, CA 91423 (818) 784-1102 |
| 1578755252 | MIKAYEL ABRAMYAN M.D. Individual | Pediatrics | 4330 FULTON AVE SHERMAN OAKS, CA 91423 (818) 784-1102 |
| 1598111387 | MICHAEL LIN M.D. Individual | Pediatrics | 4330 FULTON AVE SHERMAN OAKS, CA 91423 (818) 784-1102 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255366712, enumerated in the NPI registry as an "organization" on July 12, 2006
The provider is located at 4330 Fulton Ave Sherman Oaks, Ca 91423 and the phone number is (818) 784-1102
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 05D0560868 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on July 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].
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