JERRY JUDD PRYDE JR MD PC
NPI 1407396914
Clinic/Center in Los Angeles, CA
NPI Status: Active since March 02, 2017
Contact Information
1130 S FLOWER ST
UNIT 412
LOS ANGELES, CA
ZIP 90015
Phone: (310) 423-2182
Fax: (213) 403-4373
- Organization
- Clinic/Center
About JERRY JUDD PRYDE JR MD PC
This page provides the complete NPI Profile along with additional information for Jerry Judd Pryde Jr Md Pc, a provider established in Los Angeles, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1407396914 assigned on March 2017. The practitioner's primary taxonomy code is 261Q00000X with license number A60849 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Jerry Judd Pryde Jr. Md (President)
- NPI
- 1407396914
- Provider Name
- JERRY JUDD PRYDE JR MD PC
- Entity Type
- Organization
- Location Address
- 1130 S FLOWER ST UNIT 412 LOS ANGELES, CA 90015
- Location Phone
- (310) 423-2182
- Location Fax
- (213) 403-4373
- Mailing Address
- 1130 S FLOWER ST UNIT 412 LOS ANGELES, CA 90015
- Mailing Phone
- (310) 423-2182
- Mailing Fax
- (213) 403-4373
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-02-2017
- Last Update Date
- 03-02-2017
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- A60849
- License State
- CA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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 |
|---|---|---|---|
| G96316 | MEDICARE UPIN (02) |
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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 | 4 | 0 | 7 | 3 | 9 | 6 | 9 | 1 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 0 | 7 | 6 | 9 | 12 | 9 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 0 + 7 + 6 + 9 + 1 + 2 + 9 + 2 + 24 = 66 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 66 = 4 | 4 | ||||||||
The NPI number 1407396914 is valid because the calculated check digit 4 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 |
|---|---|---|---|
| 1780028209 | DR. ALEXANDER PASCHAL RUGGIERI M.D. Individual | Internal Medicine (Rheumatology) | 1130 S FLOWER ST 219 LOS ANGELES, CA 90015 (805) 433-4336 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407396914, enumerated in the NPI registry as an "organization" on March 02, 2017
The provider is located at 1130 S Flower St Unit 412 Los Angeles, Ca 90015 and the phone number is (310) 423-2182
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
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 March 02, 2017. 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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