FLETCHER FAMILY MEDICAL CLINIC
NPI 1750704250
Internal Medicine in Los Angeles, CA
NPI Status: Active since February 04, 2014
Contact Information
3056 FLETCHER DR
LOS ANGELES, CA
ZIP 90065
Phone: (323) 256-2231
Fax: (323) 256-6211
- Organization
- Internal Medicine
- CLIA Number: 05D2078735
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-04-2026
About FLETCHER FAMILY MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Fletcher Family Medical Clinic, an internist established in Los Angeles, California operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1750704250 assigned on February 2014. The practitioner's primary taxonomy code is 207R00000X with license number A69768 (CA). The provider is registered as an organization and their NPI record was last updated 11 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 provider's is doing business as Fletcher Family Medical Clinic. The authorized official of this NPI record is Warren Hosseinion M.d. (Ceo)
- NPI
- 1750704250
- Provider Legal Name
- APOLLOMED CARE CLINIC A PROFESSIONAL CORPORATION
- Other Organization Name
- FLETCHER FAMILY MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3056 FLETCHER DR LOS ANGELES, CA 90065
- Location Phone
- (323) 256-2231
- Location Fax
- (323) 256-6211
- Mailing Address
- 700 N BRAND BLVD SUITE 220 GLENDALE, CA 91203
- Mailing Phone
- (818) 839-5200
- Mailing Fax
- (323) 256-6211
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-04-2014
- Last Update Date
- 03-25-2014
- Code Navigator
An internist like Fletcher Family Medical Clinic 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.
- A69768
- 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 193400000X 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.
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
- 05D2078735
- Facility Type
- Physician Office
- Certificate Effective Date
- December 05, 2024
- Certificate Expiration Date
- December 04, 2026
- Laboratory Director
- ROBERT A. TRACY DO
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Fletcher Family Medical Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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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 | 7 | 0 | 4 | 2 | 5 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 10 | 0 | 14 | 0 | 8 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 0 + 0 + 1 + 4 + 0 + 8 + 2 + 1 + 0 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1750704250 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1316219058 | ROBERT A TRACY DO Individual | Family Medicine (Adult Medicine) | 3056 FLETCHER DR LOS ANGELES, CA 90065 (323) 256-2231 |
| 1578800827 | MARTHA G MORRIS PA-C Individual | Physician Assistant (Medical) | 3056 FLETCHER DR LOS ANGELES, CA 90065 (323) 256-2231 |
| 1083005474 | ROBERT TRACY DO, INC Organization | Family Medicine | 3056 FLETCHER DR LOS ANGELES, CA 90065 (323) 256-2231 |
| 1720970742 | HONEY MEDICAL GROUP INC Organization | Family Medicine | 3056 FLETCHER DR LOS ANGELES, CA 90065 (323) 256-2231 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750704250, enumerated in the NPI registry as an "organization" on February 04, 2014
The provider is located at 3056 Fletcher Dr Los Angeles, Ca 90065 and the phone number is (323) 256-2231
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider's CLIA number is 05D2078735 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 04, 2014. 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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