EL DORADO-LAWNDALE
NPI 1316039241
Clinic/Center - Primary Care in Lawndale, CA

NPI Status: Active since September 28, 2006

Contact Information

4023 MARINE AVE
LAWNDALE, CA
ZIP 90260
Phone: (310) 675-9555

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 05D0951364
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-11-2027

About EL DORADO-LAWNDALE

This page provides the complete NPI Profile along with additional information for El Dorado-lawndale, a primary care provider established in Lawndale, California operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1316039241 assigned on September 2006. The practitioner's primary taxonomy code is 261QP2300X with license number 960000924 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as El Dorado-lawndale. The authorized official of this NPI record is Pramesh P Sharma (Administrative Director)

NPI
1316039241
Provider Legal Name
ELDORADO COMMUNITY SERVICE CENTER
Other Organization Name
EL DORADO-LAWNDALE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4023 MARINE AVE LAWNDALE, CA 90260
Location Phone
(310) 675-9555
Mailing Address
26460 SUMMIT CIRCLE (CORPORATE OFFICE) SANTA CLARITA CALIFORNIA, CA 91350
Mailing Phone
(661) 254-6630
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-28-2006
Last Update Date
09-20-2022
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A primary care provider (PCP) like El Dorado-lawndale 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
License No.
960000924
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM2800XAmbulatory Health Care Facilities

Clinic/Center
Methadone

 

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

PRAMESH P SHARMA

Authorized Official Title
ADMINISTRATIVE DIRECTOR
Authorized Official Phone
(661) 313-5503

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
CMM70643FMEDICAID (05)CA 

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm

Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.

This service was performed 238 times for 12 patients

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
05D0951364
Facility Type
Community Clinic
Certificate Effective Date
February 12, 2025
Certificate Expiration Date
February 11, 2027
Laboratory Director
MICHAEL YADEGARI
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to El Dorado-lawndale 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.

Reviews for EL DORADO-LAWNDALE

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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.
1316039241
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2326031828
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 2 + 6 + 0 + 3 + 1 + 8 + 2 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1316039241 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1053508739 DELORES ICE
Individual
Counselor (Addiction (Substance Use Disorder))4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1275720823 BRENDA JORDAN
Individual
Counselor (Addiction (Substance Use Disorder))4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1083801641 TERRIE DOYLE
Individual
Counselor (Addiction (Substance Use Disorder))4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1629231691 VANESSA ARAICA
Individual
Counselor (Addiction (Substance Use Disorder))4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1578851952 DAVID JAMES SMITH
Individual
Counselor (Addiction (Substance Use Disorder))4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1609135771TAVARUA MEDICAL REHABILITATION SERVICES
Organization
Clinic/Center (Primary Care)4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1235553447 PORCIA FERGUSON RAS
Individual
Counselor4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1508218165 JESSICA DAWSON RN
Individual
Exclusive Provider Organization4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1174185730 LATRICE HAMILTON LVN
Individual
Licensed Vocational Nurse4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1447892468 ANTHONY ANDREW FERGUSON CADCII
Individual
Counselor (Addiction (Substance Use Disorder))4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1144817610MRS. MARY JOSEPHINE GREENDALE LVN
Individual
Licensed Vocational Nurse4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1447968110 KEITH DOUGLAS SELWA
Individual
Counselor (Addiction (Substance Use Disorder))4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1114534526 LAKEYSHER SWANTIMA WHITFELD
Individual
Counselor (Addiction (Substance Use Disorder))4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1407569213MR. JAMES SCOTT TURAN COUNSELOR
Individual
Counselor (Addiction (Substance Use Disorder))4023 MARINE AVE
LAWNDALE, CA 90260
(310) 675-9555
1700017712MR. AJMAL MOHAMMAD N.P.
Individual
Nurse Practitioner (Psychiatric/Mental Health)4023 MARINE AVE
LAWNDALE, CA 90260
(310) 508-8693

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316039241, enumerated in the NPI registry as an "organization" on September 28, 2006

The provider is located at 4023 Marine Ave Lawndale, Ca 90260 and the phone number is (310) 675-9555

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

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 most common procedures or services performed by this practitioner are: Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm.

The provider's CLIA number is 05D0951364 for a "community clinic" 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 September 28, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.