BRENTWOOD MEDICAL GROUP A PROFESSIONAL MEDICAL CORP
NPI 1720322415
Internal Medicine in Los Angeles, CA
NPI Status: Active since November 19, 2012
Contact Information
11645 WILSHIRE BLVD
SUITE 745
LOS ANGELES, CA
ZIP 90025
Phone: (310) 696-0101
- Organization
- Internal Medicine
- CLIA Number: 05D2163723
- CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
- CLIA Exp. Date: 03-19-2027
About BRENTWOOD MEDICAL GROUP A PROFESSIONAL MEDICAL CORP
This page provides the complete NPI Profile along with additional information for Brentwood Medical Group A Professional Medical Corp, an internist established in Los Angeles, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1720322415 assigned on November 2012. The practitioner's primary taxonomy code is 207R00000X with license number 20A6273 (CA). The provider is registered as an organization and their NPI record was last updated 8 years ago. Brentwood Medical Group A Professional Medical Corp 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 Dr. Javid Tavari D.o. (President)
- NPI
- 1720322415
- Provider Name
- BRENTWOOD MEDICAL GROUP A PROFESSIONAL MEDICAL CORP
- Entity Type
- Organization
- Location Address
- 11645 WILSHIRE BLVD SUITE 745 LOS ANGELES, CA 90025
- Location Phone
- (310) 696-0101
- Mailing Address
- 11645 WILSHIRE BLVD SUITE 745 LOS ANGELES, CA 90025
- Mailing Phone
- (310) 696-0101
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-19-2012
- Last Update Date
- 02-26-2018
- Code Navigator
An internist like Brentwood Medical Group A Professional Medical Corp is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, 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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 20A6273
- License State
- CA
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
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.
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
- 05D2163723
- Facility Type
- End Stage Renal Disease Dialysis Facility
- Certificate Effective Date
- March 20, 2025
- Certificate Expiration Date
- March 19, 2027
- Laboratory Director
- ANJAY RASTOGI
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Brentwood Medical Group A Professional Medical Corp 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.
Reviews for BRENTWOOD MEDICAL GROUP A PROFESSIONAL MEDICAL CORP
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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 | 7 | 2 | 0 | 3 | 2 | 2 | 4 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 4 | 0 | 6 | 2 | 4 | 4 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 4 + 0 + 6 + 2 + 4 + 4 + 2 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1720322415 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 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063475986 | SCOTT RITCHEY SALE MD Individual | Specialist | 11645 WILSHIRE BLVD SUITE 1090 LOS ANGELES, CA 90025 (310) 478-1188 |
| 1730145913 | CATHERINE G. FULLER, M.D. INC. Organization | Allergy & Immunology | 11645 WILSHIRE BLVD SUITE 1150 LOS ANGELES, CA 90025 (310) 828-7978 |
| 1336107796 | ERIE V BOORMAN III MD Individual | Internal Medicine | 11645 WILSHIRE BLVD SUITE 901 LOS ANGELES, CA 90025 (310) 481-0481 |
| 1154389518 | MIKE A UYEKI MD Individual | Internal Medicine | 11645 WILSHIRE BLVD SUITE 901 LOS ANGELES, CA 90025 (310) 481-0481 |
| 1851349120 | DR. CATHERINE G FULLER M.D. Individual | Allergy & Immunology | 11645 WILSHIRE BLVD SUITE 1150 LOS ANGELES, CA 90025 (310) 828-7978 |
| 1831137223 | PACIFIC HEARING & BALANCE., INC Organization | Specialist | 11645 WILSHIRE BLVD SUITE # 600 LOS ANGELES, CA 90025 (310) 477-5558 |
| 1104869551 | CARISSA DARLENE BENNETT AUD Individual | Specialist | 11645 WILSHIRE BLVD SUITE # 600 LOS ANGELES, CA 90025 (310) 477-5558 |
| 1861436008 | PACIFIC HEARING , INC Organization | Specialist | 11645 WILSHIRE BLVD SUITE # 600 LOS ANGELES, CA 90025 (310) 477-5558 |
| 1689601551 | DR. MING JEY WOO D.C. Individual | Chiropractor | 11645 WILSHIRE BLVD SUITE 120 LOS ANGELES, CA 90025 (310) 231-7000 |
| 1669400602 | DR. JAVID D TAVARI D.O. Individual | Internal Medicine | 11645 WILSHIRE BLVD SUITE 745 LOS ANGELES, CA 90025 (310) 696-0100 |
| 1386665875 | MICHAEL JAY ROSENBLATT M.D. Individual | Psychiatry & Neurology (Psychiatry) | 11645 WILSHIRE BLVD SUITE 1065 LOS ANGELES, CA 90025 (310) 208-3390 |
| 1174534788 | DR. MARK B LIEBERMAN DDS Individual | Dentist (Periodontics) | 11645 WILSHIRE BLVD SUITE 1001 LOS ANGELES, CA 90025 (310) 826-7863 |
| 1104939248 | CHESTER F GRIFFITHS MD, FACS Individual | Otolaryngology | 11645 WILSHIRE BLVD 6TH FLOOR LOS ANGELES, CA 90025 (310) 477-5558 |
| 1205938362 | DR. KEVIN RAEL PIMSTONE MD Individual | Internal Medicine | 11645 WILSHIRE BLVD SUITE 901 LOS ANGELES, CA 90025 (310) 481-0481 |
| 1689779423 | MRS. ADILEH ASKARNIA DDS Individual | Dentist (General Practice) | 11645 WILSHIRE BLVD SUITE 980 LOS ANGELES, CA 90025 (310) 820-0022 |
| 1316042161 | ALLERGY AND ASTHMA CENTER MEDICAL GROUP INC Organization | Allergy & Immunology (Allergy) | 11645 WILSHIRE BLVD STE 988 LOS ANGELES, CA 90025 (310) 820-1561 |
| 1013017110 | JANNA MARIE CLINE-CHANES M.S. Individual | Specialist | 11645 WILSHIRE BLVD SUITE # 600 LOS ANGELES, CA 90025 (310) 477-5558 |
| 1992894919 | NADER DAYANI D.D.S Individual | Dentist (Orthodontics and Dentofacial Orthopedics) | 11645 WILSHIRE BLVD 802 LOS ANGELES, CA 90025 (310) 826-7494 |
| 1003987447 | DAVID P SCHLANG DDS Individual | Dentist | 11645 WILSHIRE BLVD SUITE 703 LOS ANGELES, CA 90025 (310) 477-2488 |
| 1467524165 | JASON KELBERMAN DC Individual | Chiropractor | 11645 WILSHIRE BLVD SUITE 120 LOS ANGELES, CA 90025 (310) 231-7000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720322415, enumerated in the NPI registry as an "organization" on November 19, 2012
The provider is located at 11645 Wilshire Blvd Suite 745 Los Angeles, Ca 90025 and the phone number is (310) 696-0101
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 05D2163723 for a "end stage renal disease dialysis facility" 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 November 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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