MAGNOLIA ACCESS SERVICES INC
NPI 1770246779
Clinic/Center - Health Service in Los Angeles, CA
NPI Status: Active since October 16, 2021
Contact Information
360 E 2ND ST FL 8
LOS ANGELES, CA
ZIP 90012
Phone: (714) 785-3639
- Organization
- Clinic/Center
- Health Service
- CLIA Number: 05D0925790
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-31-2026
About MAGNOLIA ACCESS SERVICES INC
This page provides the complete NPI Profile along with additional information for Magnolia Access Services Inc, a provider established in Los Angeles, California operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1770246779 assigned on October 2021. The practitioner's primary taxonomy code is 261QH0100X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Christian Reyes Fnp (President)
- NPI
- 1770246779
- Provider Name
- MAGNOLIA ACCESS SERVICES INC
- Entity Type
- Organization
- Location Address
- 360 E 2ND ST FL 8 LOS ANGELES, CA 90012
- Location Phone
- (714) 785-3639
- Mailing Address
- 8453 PENNY DR RIVERSIDE, CA 92503
- Mailing Phone
- (714) 785-3639
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-16-2021
- Last Update Date
- 01-10-2024
- Code Navigator
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
Clinic/Center Health Service
- Taxonomy Code
- 261QH0100X
- Type
- Ambulatory Health Care Facilities
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) |
|---|---|---|---|---|
| 1 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center |
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
- 05D0925790
- Facility Type
- Physician Office
- Certificate Effective Date
- June 01, 2024
- Certificate Expiration Date
- May 31, 2026
- Laboratory Director
- JAVIER R. RIOS MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Magnolia Access Services 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 | 7 | 0 | 2 | 4 | 6 | 7 | 7 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 14 | 0 | 4 | 4 | 12 | 7 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 1 + 4 + 0 + 4 + 4 + 1 + 2 + 7 + 1 + 4 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1770246779 is valid because the calculated check digit 9 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 1770246779, enumerated in the NPI registry as an "organization" on October 16, 2021
The provider is located at 360 E 2nd St Fl 8 Los Angeles, Ca 90012 and the phone number is (714) 785-3639
This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service
The provider's CLIA number is 05D0925790 for a "physician office" 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 October 16, 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].
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