FAMILY PRACTICE ASSOCIATES OF CARSON
NPI 1851546246
Non-Pharmacy Dispensing Site in Carson, CA

NPI Status: Active since November 26, 2008

Contact Information

824 E CARSON ST
201
CARSON, CA
ZIP 90745
Phone: (310) 233-3228

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  • Organization
  • Non-Pharmacy Dispensing Site
  • CLIA Number: 05D0942998
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-18-2026

About FAMILY PRACTICE ASSOCIATES OF CARSON

This page provides the complete NPI Profile along with additional information for Family Practice Associates Of Carson, a provider established in Carson, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1851546246 assigned on November 2008. The practitioner's primary taxonomy code is 332900000X with license number G74550 (CA). The provider is registered as an organization and their NPI record was last updated 13 years ago. The authorized official of this NPI record is Kenny Heine (Director Of Operations)

NPI
1851546246
Provider Name
FAMILY PRACTICE ASSOCIATES OF CARSON
Entity Type
Organization
Location Address
824 E CARSON ST 201 CARSON, CA 90745
Location Phone
(310) 233-3228
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
11-26-2008
Last Update Date
10-23-2012
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
G74550
License State
CA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

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

KENNY HEINE

Authorized Official Title
DIRECTOR OF OPERATIONS
Authorized Official Phone
(858) 625-2990

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
05D0942998
Facility Type
Physician Office
Certificate Effective Date
March 19, 2024
Certificate Expiration Date
March 18, 2026
Laboratory Director
REZA GHANIAN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Family Practice Associates Of Carson 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.
1851546246
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
281011041228
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 1 + 0 + 1 + 1 + 0 + 4 + 1 + 2 + 2 + 8 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1851546246 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 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851380315 LYNN P COATES MD
Individual
Internal Medicine824 E CARSON ST NUMBER 201
CARSON, CA 90745
(310) 233-3228
1639151350 REZA GHANIAN MD
Individual
Internal Medicine824 E CARSON ST SUITE 201
CARSON, CA 90745
(310) 233-3228
1467432872 ANNETTE LIU MD
Individual
Pediatrics824 E CARSON ST #202
CARSON, CA 90745
(310) 233-3209
1508836040MRS. BARBARA LEE MD
Individual
Pediatrics824 E CARSON ST STE 202
CARSON, CA 90745
(310) 233-3209
1194759688 DANIEL E HARVEY MD
Individual
Family Medicine824 E CARSON ST SUITE 206
CARSON, CA 90745
(310) 513-9361
1871685446DR. OMID KHONSARI PHARM.D.
Individual
Pharmacist824 E CARSON ST SUITE 104
CARSON, CA 90745
(310) 847-7624
1548341258MRS. MARIA ELGA SUTJONGDRO P.T.
Individual
Physical Therapist824 E CARSON ST SUITE 203
CARSON, CA 90745
(310) 539-8800
1033292099MR. CYNRIC PARAGES MERCADO PT
Individual
Physical Therapist824 E CARSON ST SUITE 203
CARSON, CA 90745
(310) 539-8800
1255482352DR. CYNDI V. CAO PHARM.D.
Individual
Pharmacist824 E CARSON ST
CARSON, CA 90745
(310) 847-7624
1932246600 ELLEN TONG PHARM.D
Individual
Pharmacist824 E CARSON ST SUITE #104
CARSON, CA 90745
(310) 847-7624
1710923750DR. MINESH MEHTA M.D., C.C.F.P.
Individual
Family Medicine824 E CARSON ST SUITE 104
CARSON, CA 90745
(310) 793-3520
1316088990HEALTH CARE PARTNERS, INC.
Organization
Non-Pharmacy Dispensing Site824 E CARSON ST SUITE 104
CARSON, CA 90745
(310) 830-9706
1609973965DR. TERRILYN HATTIE GAUER DO
Individual
Family Medicine824 E CARSON ST SUITE 104
CARSON, CA 90745
(310) 793-3520
1164402632 GERARDO REYES GUBA MD
Individual
Family Medicine824 E CARSON ST STE 101
CARSON, CA 90745
(310) 233-3202
1831169002 JOSE LUIS M LAMI MD
Individual
Family Medicine824 E CARSON ST STE 101
CARSON, CA 90745
(310) 233-3202
1831172626DR. LINDA R BOLLAND PHARMD, MBA
Individual
Pharmacist (Pharmacotherapy)824 E CARSON ST SUITE 104
CARSON, CA 90745
(310) 830-9246
1316996903FAMILY PRACTICE ASSOCIATES OF CARSON MEDICAL GROUP INC
Organization
Internal Medicine824 E CARSON ST SUITE 201
CARSON, CA 90745
(310) 233-3228
1336532514 FRANCINE DAVIS N.P.
Individual
Nurse Practitioner (Family)824 E CARSON ST SUITE 104
CARSON, CA 90745
(310) 830-9706
1760424493ANNETTE LIU, M.D., INC
Organization
Pediatrics824 E CARSON ST SUITE 202
CARSON, CA 90745
(310) 233-3209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1851546246, enumerated in the NPI registry as an "organization" on November 26, 2008

The provider is located at 824 E Carson St 201 Carson, Ca 90745 and the phone number is (310) 233-3228

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

The provider's CLIA number is 05D0942998 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 November 26, 2008. 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.