WONDERMED OF CALIFORNIA, INC
NPI 1639824105
Family Medicine in Venice, CA

NPI Status: Active since February 14, 2022

Contact Information

828 CRESTMOORE PL
VENICE, CA
ZIP 90291
Phone: (310) 692-1469

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  • Organization
  • Family Medicine

About WONDERMED OF CALIFORNIA, INC

This page provides the complete NPI Profile along with additional information for Wondermed Of California, Inc, a primary care provider established in Venice, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1639824105 assigned on February 2022. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 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 Santino Labate (Compliance)

NPI
1639824105
Provider Name
WONDERMED OF CALIFORNIA, INC
Entity Type
Organization
Location Address
828 CRESTMOORE PL VENICE, CA 90291
Location Phone
(310) 692-1469
Mailing Address
828 CRESTMOORE PL VENICE, CA 90291
Mailing Phone
(310) 692-1469
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2022
Last Update Date
03-28-2022
Code Navigator

A primary care provider (PCP) like Wondermed Of California, Inc 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

Secondary Locations

  • 333 Washington Blvd # 130
    Marina Del Rey, CA 90292
    (310) 692-1469

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

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Group Taxonomy 193400000X MULTIPLE 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.

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

SANTINO LABATE

Authorized Official Title
COMPLIANCE
Authorized Official Phone
(949) 201-6090

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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.
1639824105
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669162810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 6 + 2 + 8 + 1 + 0 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1639824105 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1376255737WONDERMED OF FLORIDA, INC
Organization
Psychiatry & Neurology (Psychiatry)828 CRESTMOORE PL
VENICE, CA 90291
(424) 410-8475
1801508254WONDERMED OF TEXAS, P.A.
Organization
Psychiatry & Neurology (Psychiatry)828 CRESTMOORE PL
VENICE, CA 90291
(424) 410-8475
1902518368WONDER MEDICINE OF NEW YORK P.C.
Organization
Psychiatry & Neurology (Psychiatry)828 CRESTMOORE PL
VENICE, CA 90291
(424) 410-8475

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639824105, enumerated in the NPI registry as an "organization" on February 14, 2022

The provider is located at 828 Crestmoore Pl Venice, Ca 90291 and the phone number is (310) 692-1469

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on February 14, 2022. 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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