CLINICA POPULAR MEDICAL GROUP
NPI 1528101029
Family Medicine - Adolescent Medicine in Los Angeles, CA

NPI Status: Active since February 14, 2007

Contact Information

2410 W. 7TH ST
LOS ANGELES, CA
ZIP 90057
Phone: (213) 381-7175
Fax: (213) 381-7028

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  • Organization
  • Family Medicine
  • Adolescent Medicine

About CLINICA POPULAR MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Clinica Popular Medical Group, a primary care provider established in Los Angeles, California operating as a Family Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1528101029 assigned on February 2007. The practitioner's primary taxonomy code is 207QA0000X with license number 207QA35536D (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Clinica Popular 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 Daniel Berdakin Md (President)

NPI
1528101029
Provider Name
CLINICA POPULAR MEDICAL GROUP
Entity Type
Organization
Location Address
2410 W. 7TH ST LOS ANGELES, CA 90057
Location Phone
(213) 381-7175
Location Fax
(213) 381-7028
Mailing Address
2410 W. 7TH ST LOAS ANGELES, CA 90057
Mailing Phone
(213) 381-7175
Mailing Fax
(213) 381-7028
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2007
Last Update Date
08-22-2020
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A primary care provider (PCP) like Clinica Popular 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

Family Medicine Adolescent Medicine

Taxonomy Code
207QA0000X
Type
Allopathic & Osteopathic Physicians
License No.
207QA35536D
License State
CA
Taxonomy Description
A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.

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)

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

DANIEL BERDAKIN MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(213) 381-7175

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
WA35536DOTHER (01)CARENDERING PROVIDER

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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.
1528101029
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
254820204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 4 + 8 + 2 + 0 + 2 + 0 + 4 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1528101029 is valid because the calculated check digit 9 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 1528101029, enumerated in the NPI registry as an "organization" on February 14, 2007

The provider is located at 2410 W. 7th St Los Angeles, Ca 90057 and the phone number is (213) 381-7175

This medical organization specializes in Family Medicine with taxonomy code 207QA0000X with a focus in Adolescent Medicine

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 February 14, 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].
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