PARKLANE MEDICAL GROUP
NPI 1336355320
General Practice in Compton, CA

NPI Status: Active since May 15, 2007

Contact Information

508 NORTH LONG BEACH BL.
COMPTON, CA
ZIP 90221
Phone: (310) 637-3989
Fax: (310) 637-9325

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  • Organization
  • General Practice
  • CLIA Number: 05D0953014
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-28-2025

About PARKLANE MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Parklane Medical Group, a primary care provider established in Compton, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1336355320 assigned on May 2007. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Parklane Medical Group 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 George C Ifeorah Lac (Director)

NPI
1336355320
Provider Name
PARKLANE MEDICAL GROUP
Entity Type
Organization
Location Address
508 NORTH LONG BEACH BL. COMPTON, CA 90221
Location Phone
(310) 637-3989
Location Fax
(310) 637-9325
Mailing Address
508 NORTH LONG BEACH BL. COMPTON, CA 90221
Mailing Phone
(310) 637-3989
Mailing Fax
(310) 637-9325
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2007
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Parklane Medical Group 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 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

GEORGE C IFEORAH LAC

Authorized Official Title
DIRECTOR
Authorized Official Phone
(310) 637-3989

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
GR0102060MEDICAID (05)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
05D0953014
Facility Type
Physician Office
Certificate Effective Date
June 29, 2023
Certificate Expiration Date
June 28, 2025
Laboratory Director
ANITA W. HIBLER, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Parklane Medical Group 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 PARKLANE MEDICAL GROUP

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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.
1336355320
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2366651034
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 6 + 5 + 1 + 0 + 3 + 4 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336355320 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336355320, enumerated in the NPI registry as an "organization" on May 15, 2007

The provider is located at 508 North Long Beach Bl. Compton, Ca 90221 and the phone number is (310) 637-3989

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.

The provider's CLIA number is 05D0953014 for a "physician office" 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 May 15, 2007. 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.