CASPIAN MEDICAL CLINIC, CORP
NPI 1275765612
General Practice in Van Nuys, CA

NPI Status: Active since August 19, 2009

Contact Information

14103 VICTORY BLVD
SUITE 7
VAN NUYS, CA
ZIP 91401
Phone: (818) 994-0000
Fax: (818) 988-2949

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  • Organization
  • General Practice

About CASPIAN MEDICAL CLINIC, CORP

This page provides the complete NPI Profile along with additional information for Caspian Medical Clinic, Corp, a primary care provider established in Van Nuys, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1275765612 assigned on August 2009. The practitioner's primary taxonomy code is 208D00000X with license number A102618 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. Caspian Medical Clinic, Corp operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Max Mahmoud Ghannadi M.d., (Owner)

NPI
1275765612
Provider Name
CASPIAN MEDICAL CLINIC, CORP
Entity Type
Organization
Location Address
14103 VICTORY BLVD SUITE 7 VAN NUYS, CA 91401
Location Phone
(818) 994-0000
Location Fax
(818) 988-2949
Mailing Address
14103 VICTORY BLVD SUITE 7 VAN NUYS, CA 91401
Mailing Phone
(818) 994-0000
Mailing Fax
(818) 988-2949
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-19-2009
Last Update Date
09-23-2010
Code Navigator

A primary care provider (PCP) like Caspian Medical Clinic, Corp 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
A102618
License State
CA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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.

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

DR. MAX MAHMOUD GHANNADI M.D.,

Authorized Official Title
OWNER
Authorized Official Phone
(818) 994-0000

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
BX757AMEDICARE PIN (08)CA 
A102618OTHER (01)CALICENSE

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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.
1275765612
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221451461062
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 4 + 6 + 1 + 0 + 6 + 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 = 22

The NPI number 1275765612 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 provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003050873MAX M GHANNADI MD MEDICAL CORP
Organization
General Practice14103 VICTORY BLVD SUITE 7
VAN NUYS, CA 91401
(818) 994-0000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275765612, enumerated in the NPI registry as an "organization" on August 19, 2009

The provider is located at 14103 Victory Blvd Suite 7 Van Nuys, Ca 91401 and the phone number is (818) 994-0000

This medical organization specializes in General Practice with taxonomy code 208D00000X

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 August 19, 2009. 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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