LAND PARK PEDIATRIC MEDICAL GROUP
NPI 1487018990
Pediatrics in Sacramento, CA
NPI Status: Active since April 11, 2016
Contact Information
4617 FREEPORT BLVD STE B
SACRAMENTO, CA
ZIP 95822
Phone: (916) 422-7273
Fax: (916) 422-2127
- Organization
- Pediatrics
- CLIA Number: 05D0616055
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-27-2026
About LAND PARK PEDIATRIC MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Land Park Pediatric Medical Group, a pediatrician established in Sacramento, California operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1487018990 assigned on April 2016. The practitioner's primary taxonomy code is 208000000X with license number A56390 (CA). The provider is registered as an organization and their NPI record was last updated 9 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 Ravinder Singh Khaira M.d. (Physician/owner)
- NPI
- 1487018990
- Provider Name
- LAND PARK PEDIATRIC MEDICAL GROUP
- Entity Type
- Organization
- Location Address
- 4617 FREEPORT BLVD STE B SACRAMENTO, CA 95822
- Location Phone
- (916) 422-7273
- Location Fax
- (916) 422-2127
- Mailing Address
- 4617 FREEPORT BLVD STE B SACRAMENTO, CA 95822
- Mailing Phone
- (916) 422-7273
- Mailing Fax
- (916) 422-2127
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-11-2016
- Last Update Date
- 04-11-2016
- Code Navigator
A pediatrician like Land Park Pediatric Medical Group is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, 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
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A56390
- License State
- CA
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Group Taxonomy 193400000X 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.
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
- 05D0616055
- Facility Type
- Physician Office
- Certificate Effective Date
- March 28, 2024
- Certificate Expiration Date
- March 27, 2026
- Laboratory Director
- RAVINDER S. KHAIRA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Land Park Pediatric 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.
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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 | 8 | 7 | 0 | 1 | 8 | 9 | 9 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 16 | 7 | 0 | 1 | 16 | 9 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 6 + 7 + 0 + 1 + 1 + 6 + 9 + 1 + 8 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1487018990 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1902842354 | RAVINDER SINGH KHAIRA MD Individual | Pediatrics | 4617 FREEPORT BLVD STE B SACRAMENTO, CA 95822 (916) 422-7273 |
| 1386232395 | ALLISON EMIKO IWAMOTO FNP-C, RN Individual | Family Medicine | 4617 FREEPORT BLVD STE B SACRAMENTO, CA 95822 (916) 422-7273 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1487018990, enumerated in the NPI registry as an "organization" on April 11, 2016
The provider is located at 4617 Freeport Blvd Ste B Sacramento, Ca 95822 and the phone number is (916) 422-7273
This medical organization specializes in Pediatrics with taxonomy code 208000000X
The provider's CLIA number is 05D0616055 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 April 11, 2016. 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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