LONGEVITA CLINIC, A PROFESSIONAL CORPORATION
NPI 1730774076
Internal Medicine in Chatsworth, CA

NPI Status: Active since March 09, 2021

Contact Information

21757 DEVONSHIRE ST STE 1
CHATSWORTH, CA
ZIP 91311
Phone: (805) 630-7149
Fax: (888) 981-8739

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  • Organization
  • Internal Medicine

About LONGEVITA CLINIC, A PROFESSIONAL CORPORATION

This page provides the complete NPI Profile along with additional information for Longevita Clinic, A Professional Corporation, an internist established in Chatsworth, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1730774076 assigned on March 2021. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Longevita Clinic, A Professional Corporation 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. Richard Park Md (Secretary)

NPI
1730774076
Provider Name
LONGEVITA CLINIC, A PROFESSIONAL CORPORATION
Entity Type
Organization
Location Address
21757 DEVONSHIRE ST STE 1 CHATSWORTH, CA 91311
Location Phone
(805) 630-7149
Location Fax
(888) 981-8739
Mailing Address
21757 DEVONSHIRE ST STE 1 CHATSWORTH, CA 91311
Mailing Phone
(818) 678-9875
Mailing Fax
(888) 981-8739
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-09-2021
Last Update Date
02-24-2023
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An internist like Longevita Clinic, A Professional Corporation 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.

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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

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
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.

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)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 

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.

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

DR. RICHARD PARK MD

Authorized Official Title
SECRETARY
Authorized Official Phone
(805) 368-1293

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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.
1730774076
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27601478014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 1 + 4 + 7 + 8 + 0 + 1 + 4 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1730774076 is valid because the calculated check digit 6 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 1730774076, enumerated in the NPI registry as an "organization" on March 09, 2021

The provider is located at 21757 Devonshire St Ste 1 Chatsworth, Ca 91311 and the phone number is (805) 630-7149

This medical organization specializes in Internal Medicine with taxonomy code 207R00000X

This NPI record was last updated on March 09, 2021. 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.