MORNINGSIDE PRIMARY CARE MEDICAL CENTER INC
NPI 1255749099
Non-Pharmacy Dispensing Site in Los Angeles, CA

NPI Status: Active since July 24, 2014

Contact Information

617 W MANCHESTER AVE
LOS ANGELES, CA
ZIP 90044
Phone: (323) 778-6215

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  • Organization
  • Non-Pharmacy Dispensing Site

About MORNINGSIDE PRIMARY CARE MEDICAL CENTER INC

This page provides the complete NPI Profile along with additional information for Morningside Primary Care Medical Center Inc, a provider established in Los Angeles, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1255749099 assigned on July 2014. The practitioner's primary taxonomy code is 332900000X with license number 45227 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Morningside Primary Care Medical Center Inc. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1255749099
Provider Legal Name
MORNINGSIDE PRIMARY CARE MEDICAL CENTER MC INC A NEVADA CORPORATION
Other Organization Name
MORNINGSIDE PRIMARY CARE MEDICAL CENTER INC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
617 W MANCHESTER AVE LOS ANGELES, CA 90044
Location Phone
(323) 778-6215
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
07-24-2014
Last Update Date
07-24-2014
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
45227
License State
CA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 964-1506

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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.
1255749099
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2210514418018
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 4 + 4 + 1 + 8 + 0 + 1 + 8 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1255749099 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730299157MORNINGSIDE PRIMARY CARE
Organization
General Practice617 W MANCHESTER AVE
LOS ANGELES, CA 90044
(323) 750-9715
1619196656DR. LEMMON C MCMILLAN M.D.
Individual
General Practice617 W MANCHESTER AVE
LOS ANGELES, CA 90044
(323) 750-9715
1417211533GOLD STANDARD UROLOGY
Organization
Urology617 W MANCHESTER AVE
LOS ANGELES, CA 90044
(213) 750-7675
1770517278MR. JIMMY H SOLIMAN M.D.
Individual
Internal Medicine617 W MANCHESTER AVE
LOS ANGELES, CA 90044
(323) 778-6215
1245732155 BARBARA NGUYEN FNP
Individual
Nurse Practitioner (Family)617 W MANCHESTER AVE
LOS ANGELES, CA 90044
(323) 750-9715
1326643578 JENNY SOLIMAN PA-C
Individual
Family Medicine617 W MANCHESTER AVE
LOS ANGELES, CA 90044
(323) 778-6215
1609457290MRS. SAY PEDRERA CONCEPCION FNP
Individual
Nurse Practitioner (Family)617 W MANCHESTER AVE
LOS ANGELES, CA 90044
(323) 750-9715
1851188312 KISHMA LANE
Individual
Nurse Practitioner (Primary Care)617 W MANCHESTER AVE
LOS ANGELES, CA 90044
(323) 750-9715

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255749099, enumerated in the NPI registry as an "organization" on July 24, 2014

The provider is located at 617 W Manchester Ave Los Angeles, Ca 90044 and the phone number is (323) 778-6215

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

This NPI record was last updated on July 24, 2014. 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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