WOODVIC MEDICAL MANAGEMENT, INC
NPI 1518218379
Surgery in Van Nuys, CA

NPI Status: Active since September 19, 2012

Contact Information

13653 VICTORY BLVD
VAN NUYS, CA
ZIP 91401
Phone: (818) 988-9825
Fax: (818) 988-9305

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  • Organization
  • Surgery

About WOODVIC MEDICAL MANAGEMENT, INC

This page provides the complete NPI Profile along with additional information for Woodvic Medical Management, Inc, a provider established in Van Nuys, California operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1518218379 assigned on September 2012. The practitioner's primary taxonomy code is 208600000X with license number G74901 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. Woodvic Medical Management, Inc 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 James Hartleroad Md (Doctor)

NPI
1518218379
Provider Name
WOODVIC MEDICAL MANAGEMENT, INC
Entity Type
Organization
Location Address
13653 VICTORY BLVD VAN NUYS, CA 91401
Location Phone
(818) 988-9825
Location Fax
(818) 988-9305
Mailing Address
13653 VICTORY BLVD VAN NUYS, CA 91401
Mailing Phone
(818) 988-9825
Mailing Fax
(818) 988-9305
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2012
Last Update Date
09-19-2012
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A surgeon like Woodvic Medical Management, Inc treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

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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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
License No.
G74901
License State
CA
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

G74901 (CA)
2208D00000XAllopathic & Osteopathic Physicians

General Practice

G74901 (CA)

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

JAMES HARTLEROAD MD

Authorized Official Title
DOCTOR
Authorized Official Phone
(818) 988-9825

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
G74901MEDICARE UPIN (02)CA 
F46669MEDICARE UPIN (02)CA 

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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.
1518218379
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25284116314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 2 + 8 + 4 + 1 + 1 + 6 + 3 + 1 + 4 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1518218379 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316013659 ELIZA SHUBARALYAN
Individual
Durable Medical Equipment & Medical Supplies13653 VICTORY BLVD
VAN NUYS, CA 91401
(818) 785-5002
1760651269CHH MEDICAL SUPPLY
Organization
Durable Medical Equipment & Medical Supplies13653 VICTORY BLVD
VAN NUYS, CA 91401
(818) 785-5002
1023343571WOODVIC MEDICAL CARE AND CLINIC, CORP
Organization
General Practice13653 VICTORY BLVD
VAN NUYS, CA 91401
(818) 988-9825
1710256086WOODVIC MEDICAL CARE AND CLINIC
Organization
Family Medicine13653 VICTORY BLVD
VAN NUYS, CA 91401
(818) 988-9825
1205196094WOODMAN MEDICAL CARE AND CLINIC
Organization
Surgery13653 VICTORY BLVD
VAN NUYS, CA 91401
(818) 988-9825

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1518218379, enumerated in the NPI registry as an "organization" on September 19, 2012

The provider is located at 13653 Victory Blvd Van Nuys, Ca 91401 and the phone number is (818) 988-9825

This medical organization specializes in Surgery with taxonomy code 208600000X

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 September 19, 2012. 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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