NICK DZEBOLO MD INC
NPI 1639323314
Radiology - Diagnostic Radiology in Inglewood, CA

NPI Status: Active since November 07, 2008

Contact Information

301 N PRAIRIE AVE
#125
INGLEWOOD, CA
ZIP 90301
Phone: (310) 412-7800
Fax: (310) 412-7801

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  • Organization
  • Radiology
  • Diagnostic Radiology

About NICK DZEBOLO MD INC

This page provides the complete NPI Profile along with additional information for Nick Dzebolo Md Inc, a provider established in Inglewood, California operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1639323314 assigned on November 2008. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 17 years ago. Nick Dzebolo Md 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 Nicholas N Dzebolo (Owner)

NPI
1639323314
Provider Name
NICK DZEBOLO MD INC
Entity Type
Organization
Location Address
301 N PRAIRIE AVE #125 INGLEWOOD, CA 90301
Location Phone
(310) 412-7800
Location Fax
(310) 412-7801
Mailing Address
301 N PRAIRIE AVE #125 INGLEWOOD, CA 90301
Mailing Phone
(310) 412-7800
Mailing Fax
(310) 412-7801
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2008
Last Update Date
11-07-2008
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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

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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

NICHOLAS N DZEBOLO

Authorized Official Title
OWNER
Authorized Official Phone
(310) 412-7800

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
A46671MEDICARE PIN (08) 

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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.
1639323314
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
266962632
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 6 + 2 + 6 + 3 + 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 = 44

The NPI number 1639323314 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 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1750495628 JEHAN ZEB MIR MD
Individual
Surgery301 N PRAIRIE AVE 120
INGLEWOOD, CA 90301
(310) 677-6101
1629127170 TYRON REECE M.D.
Individual
Family Medicine301 N PRAIRIE AVE 230
INGLEWOOD, CA 90301
(310) 330-0240
1245365493 EDWARD TAMANI ARMSTRONG PHD
Individual
Counselor301 N PRAIRIE AVE SUITE 612
INGLEWOOD, CA 90301
(310) 673-8402
1245365220 DIANE F. STROTHER PHD
Individual
Psychologist (Clinical)301 N PRAIRIE AVE SUITE 612
INGLEWOOD, CA 90301
(310) 673-8402
1457473977A&S DIAGNOSTIC INC.
Organization
Clinical Medical Laboratory301 N PRAIRIE AVE
INGLEWOOD, CA 90301
(310) 419-9556
1275746778 FUMNILAYO SADE ALLEYNE
Individual
Case Manager/Care Coordinator301 N PRAIRIE AVE SUITE 612
INGLEWOOD, CA 90301
(310) 673-8402
1982802385 FELICIA M. GREENE
Individual
Case Manager/Care Coordinator301 N PRAIRIE AVE SUITE 612
INGLEWOOD, CA 90301
(310) 673-8402
1013106806 RIKA YAMADA
Individual
Counselor (Mental Health)301 N PRAIRIE AVE SUITE 612
INGLEWOOD, CA 90301
(310) 673-8402
1881861532ADVANCED PROSTHETICS INC.
Organization
Prosthetic/Orthotic Supplier301 N PRAIRIE AVE SUITE 411
INGLEWOOD, CA 90301
(310) 671-5330
1730330515 MAJID ASHRAFY
Individual
Orthotic Fitter301 N PRAIRIE AVE SUITE 411
INGLEWOOD, CA 90301
(310) 621-9950
1437394780GIA RADIOLOGY
Organization
Physiological Laboratory301 N PRAIRIE AVE #125
INGLEWOOD, CA 90301
(310) 412-7800
1043456742CALIFORNIA NEUROMEDICAL SERVICES
Organization
Psychiatry & Neurology (Clinical Neurophysiology)301 N PRAIRIE AVE STE.315
INGLEWOOD, CA 90301
(310) 680-0304
1346525912MISSION CITY COMMUNITY NETWORK, INC
Organization
Clinic/Center (Primary Care)301 N PRAIRIE AVE 311
INGLEWOOD, CA 90301
(818) 895-3100
1154690121ONATE CARE CENTER
Organization
Clinic/Center (Rehabilitation, Substance Use Disorder)301 N PRAIRIE AVE SUITE 501
INGLEWOOD, CA 90301
(323) 603-1945
1073055570MEDICAL SUPPORT LOS ANGELES A MEDICAL CORPORATION
Organization
Independent Medical Examiner301 N PRAIRIE AVE SUITE #201
INGLEWOOD, CA 90301
(310) 674-4419
1386295939 REYNA CECILIA LEON MS
Individual
Behavior Analyst301 N PRAIRIE AVE
INGLEWOOD, CA 90301
(323) 796-0353
1225689714 VICTOR ALEJANDRO NOH MS
Individual
Assistant Behavior Analyst301 N PRAIRIE AVE
INGLEWOOD, CA 90301
(323) 796-0353
1891892071PARADIGM VISION CARE MEDICAL ASSOCIATES
Organization
Specialist301 N PRAIRIE AVE SUITE 601
INGLEWOOD, CA 90301
(310) 673-2020
1255471959ANGELITA S BEREDO MD INC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)301 N PRAIRIE AVE SUITE 301
INGLEWOOD, CA 90301
(310) 671-2699
1083831077DESTINY MEDICAL EQUIPMENT
Organization
Durable Medical Equipment & Medical Supplies301 N PRAIRIE AVE SUITE 125
INGLEWOOD, CA 90301
(310) 672-1002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639323314, enumerated in the NPI registry as an "organization" on November 07, 2008

The provider is located at 301 N Prairie Ave #125 Inglewood, Ca 90301 and the phone number is (310) 412-7800

This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology

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 November 07, 2008. 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.