ZACOALCO MEDICAL GROUP INC
NPI 1750442836
Family Medicine in Los Angeles, CA
NPI Status: Active since December 13, 2006
Contact Information
1414 E FLORENCE AVE
LOS ANGELES, CA
ZIP 90001
Phone: (323) 588-1383
Fax: (323) 588-2339
- Organization
- Family Medicine
- CLIA Number: 05D1091507
- CLIA Cert. Type: Other
- CLIA Exp. Date: 11-02-2026
About ZACOALCO MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Zacoalco Medical Group Inc, a primary care provider established in Los Angeles, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1750442836 assigned on December 2006. The practitioner's primary taxonomy code is 207Q00000X with license number G75144 (CA). The provider is registered as an organization and their NPI record was last updated 7 years ago. Zacoalco Medical Group 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 Raymond Menchaca Md (Medical Director)
- NPI
- 1750442836
- Provider Name
- ZACOALCO MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 1414 E FLORENCE AVE LOS ANGELES, CA 90001
- Location Phone
- (323) 588-1383
- Location Fax
- (323) 588-2339
- Mailing Address
- 1414 E FLORENCE AVE LOS ANGELES, CA 90001
- Mailing Phone
- (323) 588-1383
- Mailing Fax
- (323) 588-2339
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-13-2006
- Last Update Date
- 03-09-2018
- Code Navigator
A primary care provider (PCP) like Zacoalco Medical Group 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
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
- License No.
- G75144
- License State
- CA
- 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 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.
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 |
|---|---|---|---|
| GR0080240 | MEDICAID (05) | CA | |
| GR0080241 | MEDICAID (05) | CA |
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
- 05D1091507
- Facility Type
- Other
- Certificate Effective Date
- November 03, 2024
- Certificate Expiration Date
- November 02, 2026
- Laboratory Director
- RAYMOND MENCHACA MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Zacoalco Medical Group Inc 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.
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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 | 5 | 0 | 4 | 4 | 2 | 8 | 3 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 8 | 4 | 4 | 8 | 6 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 8 + 4 + 4 + 8 + 6 + 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 = 6 | 6 | ||||||||
The NPI number 1750442836 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1669554705 | MR. SAUL DE LA ROSA PA PHYSICIAN ASSISTA Individual | Physician Assistant | 1414 E FLORENCE AVE ZACOALCO MED GROUP LOS ANGELES, CA 90001 (323) 588-1383 |
| 1851456214 | MS. TERESA ARELLANO RNP Individual | Nurse Practitioner (Women's Health) | 1414 E FLORENCE AVE LOS ANGELES, CA 90001 (323) 588-1383 |
| 1649577842 | MR. EZEQUIEL SANCHEZ PA-C Individual | Physician Assistant | 1414 E FLORENCE AVE LOS ANGELES, CA 90001 (323) 588-1383 |
| 1992468623 | EDGAR LEONARDO FARIAS Individual | Student in an Organized Health Care Education/Training Program | 1414 E FLORENCE AVE LOS ANGELES, CA 90001 (323) 588-1383 |
| 1003441031 | MELINA ANN DE LA ROSA RD Individual | Dietitian, Registered | 1414 E FLORENCE AVE LOS ANGELES, CA 90001 (323) 588-1383 |
| 1447063508 | PAMELA ISABEL ZALDIVAR PA Individual | Physician Assistant | 1414 E FLORENCE AVE LOS ANGELES, CA 90001 (562) 334-5543 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750442836, enumerated in the NPI registry as an "organization" on December 13, 2006
The provider is located at 1414 E Florence Ave Los Angeles, Ca 90001 and the phone number is (323) 588-1383
This medical organization specializes in Family Medicine with taxonomy code 207Q00000X
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.
The provider's CLIA number is 05D1091507 for a "other" 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 December 13, 2006. 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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