MENLO DERMATOLOGY MEDICAL GROUP AND LASER CENTER INC
NPI 1275509465
Specialist in Menlo Park, CA
NPI Status: Active since February 27, 2006
Contact Information
888 OAK GROVE AVE
SUITE 8
MENLO PARK, CA
ZIP 94025
Phone: (650) 325-1511
Fax: (650) 325-6174
- Organization
- Specialist
- CLIA Number: 05D0591542
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-30-2025
About MENLO DERMATOLOGY MEDICAL GROUP AND LASER CENTER INC
This page provides the complete NPI Profile along with additional information for Menlo Dermatology Medical Group And Laser Center Inc, a provider established in Menlo Park, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1275509465 assigned on February 2006. The practitioner's primary taxonomy code is 174400000X with license number 26176 (CA). The provider is registered as an organization and their NPI record was last updated 10 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 authorized official of this NPI record is Dr. Thomas Edward Hoffman M.d. (President)
- NPI
- 1275509465
- Provider Name
- MENLO DERMATOLOGY MEDICAL GROUP AND LASER CENTER INC
- Entity Type
- Organization
- Location Address
- 888 OAK GROVE AVE SUITE 8 MENLO PARK, CA 94025
- Location Phone
- (650) 325-1511
- Location Fax
- (650) 325-6174
- Mailing Address
- 888 OAK GROVE AVE SUITE 8 MENLO PARK, CA 94025
- Mailing Phone
- (650) 325-1511
- Mailing Fax
- (650) 325-6174
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2006
- Last Update Date
- 08-25-2015
- 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
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 26176
- License State
- CA
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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.
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 |
|---|---|---|---|
| G81488 | MEDICARE UPIN (02) | CA | |
| E85746 | MEDICARE UPIN (02) | CA | |
| ZZZ15375Z | OTHER (01) | CA | MEDICARE PTAN |
| A40985 | MEDICARE UPIN (02) | CA |
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
- 05D0591542
- Facility Type
- Physician Office
- Certificate Effective Date
- June 07, 2023
- Certificate Expiration Date
- June 30, 2025
- Laboratory Director
- THOMAS E. HOFFMAN MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Menlo Dermatology Medical Group And Laser Center Inc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high 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 | 7 | 5 | 5 | 0 | 9 | 4 | 6 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 14 | 5 | 10 | 0 | 18 | 4 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 4 + 5 + 1 + 0 + 0 + 1 + 8 + 4 + 1 + 2 + 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 = 5 | 5 | ||||||||
The NPI number 1275509465 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 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1417981465 | DR. YEKTA BAKHTIAR RAFATY D.D.S. Individual | Dentist (General Practice) | 888 OAK GROVE AVE STE. 2 MENLO PARK, CA 94025 (650) 325-0465 |
| 1962425496 | DR. HONOR FULLERTON STONE M.D. Individual | Specialist | 888 OAK GROVE AVE SUITE 8 MENLO PARK, CA 94025 (650) 325-1511 |
| 1104849710 | DR. JODIE L BOGOMILSKY M.D. Individual | Specialist | 888 OAK GROVE AVE SUITE 8 MENLO PARK, CA 94025 (650) 325-1511 |
| 1225046188 | JULIET M KRAL MD Individual | Internal Medicine (Hematology & Oncology) | 888 OAK GROVE AVE 12 MENLO PARK, CA 94025 (650) 324-4400 |
| 1649471509 | THOMAS G WARDEN D.D.S. Individual | Dentist (General Practice) | 888 OAK GROVE AVE SUITE 10 MENLO PARK, CA 94025 (650) 325-8052 |
| 1184061251 | DR. MARGARET JANET SCOPAZZI DDS Individual | Dentist | 888 OAK GROVE AVE MENLO PARK, CA 94025 (650) 678-5745 |
| 1184665556 | DIVYA RAILAN M.D. Individual | Specialist | 888 OAK GROVE AVE STE 14 MENLO PARK, CA 94025 (650) 322-1100 |
| 1235496746 | DIVYA RAILAN MD INC. Organization | Dermatology | 888 OAK GROVE AVE STE 14 MENLO PARK, CA 94025 (650) 322-1100 |
| 1063435741 | DR. THOMAS EDWARD HOFFMAN M.D. Individual | Specialist | 888 OAK GROVE AVE SUITE 8 MENLO PARK, CA 94025 (650) 325-1511 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275509465, enumerated in the NPI registry as an "organization" on February 27, 2006
The provider is located at 888 Oak Grove Ave Suite 8 Menlo Park, Ca 94025 and the phone number is (650) 325-1511
This medical organization specializes in Specialist with taxonomy code 174400000X
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.
The provider's CLIA number is 05D0591542 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on February 27, 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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