AVICCENNA MEDICAL GROUP
AVICCENNA MEDICAL GROUP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1124264635, based in Beverly Hills, CA. It is classified under Nephrology Physician.
Getting there
The practice address on file is 435 N BEDFORD DR SUITE # 312, Beverly Hills, CA 90210. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| A100198 | CA | Nephrology Physician primary |
This provider holds licence A100198 issued in CA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4981757929
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Nephrology covers
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. NUCC Health Care Provider Taxonomy, code 207RN0300X
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1124264635 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 5, 2009 |
| Last updated | Jul 1, 2009 |
| Status | Active |
| Practice address |
435 N BEDFORD DR SUITE # 312 Beverly Hills, CA 90210 (310) 858-1800 |
| Mailing address |
3392 MOTOR AVE Los Angeles, CA 90034 |
| Other identifiers |
2074290
(CA) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 2 | 4 | 2 | 6 | 4 | 6 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 4 | 4 | 4 | 6 | 8 | 6 | 6 |
Sum = 65 · next multiple of 10 = 70 · check digit = 5 · actual last digit = 5
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.