SAN CRISTOBAL MEDICAL GROUP
NPI 1770533655
General Practice in Los Angeles, CA

NPI Status: Active since May 11, 2006

Contact Information

1930 WILSHIRE BLVD
SUITE 405
LOS ANGELES, CA
ZIP 90057
Phone: (213) 413-4203
Fax: (213) 413-5615

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  • Organization
  • General Practice

About SAN CRISTOBAL MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for San Cristobal Medical Group, a primary care provider established in Los Angeles, California operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1770533655 assigned on May 2006. The practitioner's primary taxonomy code is 208D00000X with license number W16925 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. San Cristobal Medical Group 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 Mr. Anibal Falla (Ceo)

NPI
1770533655
Provider Name
SAN CRISTOBAL MEDICAL GROUP
Entity Type
Organization
Location Address
1930 WILSHIRE BLVD SUITE 405 LOS ANGELES, CA 90057
Location Phone
(213) 413-4203
Location Fax
(213) 413-5615
Mailing Address
1930 WILSHIRE BLVD SUITE 405 LOS ANGELES, CA 90057
Mailing Phone
(213) 413-4203
Mailing Fax
(213) 413-5615
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2006
Last Update Date
10-28-2009
Code Navigator

A primary care provider (PCP) like San Cristobal Medical Group 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

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
W16925
License State
CA
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

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.

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

MR. ANIBAL FALLA

Authorized Official Title
CEO
Authorized Official Phone
(213) 413-4203

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
W16925MEDICARE PIN (08)CA 

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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.
1770533655
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401036610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 0 + 3 + 6 + 6 + 1 + 0 + 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 = 55

The NPI number 1770533655 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 18 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831222744DR. CRAIG MICHAEL CHANIN M.D.
Individual
Family Medicine1930 WILSHIRE BLVD SUITE 301
LOS ANGELES, CA 90057
(213) 483-1999
1154509297WALT JAY MEDICAL CORPORATION
Organization
General Practice1930 WILSHIRE BLVD SUITE 600
LOS ANGELES, CA 90057
(213) 483-9902
1124206990PACIFIC HEALING CENTER, INC.
Organization
Acupuncturist1930 WILSHIRE BLVD SUITE 600
LOS ANGELES, CA 90057
(213) 483-4793
1306179577CORE CARE PEDIATRIC THERAPY INC.
Organization
Clinic/Center (Physical Therapy)1930 WILSHIRE BLVD SUITE 1007
LOS ANGELES, CA 90057
(213) 353-9196
1932426228LOS ANGELES MEDICAL CENTER IPA
Organization
Health Maintenance Organization1930 WILSHIRE BLVD SUITE 1100
LOS ANGELES, CA 90057
(213) 483-2620
1396050696ASSISTANCE HOSPICE CARE, INC.
Organization
Home Health1930 WILSHIRE BLVD SUITE 502
LOS ANGELES, CA 90057
(213) 483-1199
1801090188DR. DANIEL SHIN MD
Individual
Anesthesiology (Pain Medicine)1930 WILSHIRE BLVD 804
LOS ANGELES, CA 90057
(213) 623-5125
1689691537DAISY I .BAUTISTA, MD, A MEDICAL CORPORATION
Organization
Pediatrics1930 WILSHIRE BLVD STE. 803
LOS ANGELES, CA 90057
(213) 483-3968
1871936450ADVANCED PAIN MANAGEMENT & WELLNESS, A MEDICAL CORPORATION
Organization
Clinic/Center (Pain)1930 WILSHIRE BLVD 804
LOS ANGELES, CA 90057
(213) 413-0413
1205959913DR. DENISE D WILLIAMSON M.D.
Individual
Orthopaedic Surgery1930 WILSHIRE BLVD SUITE 600
LOS ANGELES, CA 90057
(213) 483-9902
1497781579SAN CRISTOBAL MEDICAL GROUP INC.
Organization
Exclusive Provider Organization1930 WILSHIRE BLVD SUITE 405
LOS ANGELES, CA 90057
(213) 413-1890
1366554347METRO DISCOUNT PHARMACY
Organization
Pharmacy (Community/Retail Pharmacy)1930 WILSHIRE BLVD STE 1934
LOS ANGELES, CA 90057
(213) 484-0994
1124164579WALT JAY MEDICAL CORPORATION
Organization
General Practice1930 WILSHIRE BLVD SUITE 600
LOS ANGELES, CA 90057
(213) 483-9902
1831238492WALT JAY MEDICAL CORPORATION
Organization
Physical Medicine & Rehabilitation1930 WILSHIRE BLVD SUITE 505
LOS ANGELES, CA 90057
(213) 483-9902
1659410215WALT JAY MEDICAL CORPORATION
Organization
Chiropractor (Rehabilitation)1930 WILSHIRE BLVD SUITE 600
LOS ANGELES, CA 90057
(213) 483-9902
1568501120WALT JAY MEDICAL CORPORATION
Organization
Anesthesiology (Pain Medicine)1930 WILSHIRE BLVD SUITE 600
LOS ANGELES, CA 90057
(213) 483-9902
1154463461WALT JAY MEDICAL CORPORATION
Organization
Family Medicine1930 WILSHIRE BLVD SUITE 600
LOS ANGELES, CA 90057
(213) 483-9902
1306856992DR. DAISY IBANEZ BAUTISTA MD
Individual
Family Medicine1930 WILSHIRE BLVD #803
LOS ANGELES, CA 90057
(213) 483-3968

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770533655, enumerated in the NPI registry as an "organization" on May 11, 2006

The provider is located at 1930 Wilshire Blvd Suite 405 Los Angeles, Ca 90057 and the phone number is (213) 413-4203

This medical organization specializes in General Practice with taxonomy code 208D00000X

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.

This NPI record was last updated on May 11, 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].
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.