GREATER LONG BEACH GENITO-URINARY MED GRP
GREATER LONG BEACH GENITO-URINARY MED GRP is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1417976705, based in Lakewood, CA. It is classified under Urology Physician.
Getting there
The practice address on file is 3650 SOUTH STREET SUITE 408, Lakewood, CA 90712. 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 |
|---|---|---|
| G22223 | CA | Urology Physician primary |
This provider holds licence G22223 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
- 0143258723
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 Urology covers
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. NUCC Health Care Provider Taxonomy, code 208800000X
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 | 1417976705 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jul 18, 2006 |
| Last updated | Jan 15, 2010 |
| Status | Active |
| Practice address |
3650 SOUTH STREET SUITE 408 Lakewood, CA 90712 (562) 630-0423 Fax (562) 630-0660 |
| Other identifiers |
WG22223B
· MEDICARE INDIVIDUAL PROVI (CA) WG54806D · MEDICARE INDIVIDUAL PROVI (CA) 1497724900 · PHYSICIAN INDIVIDUAL PIN (CA) 1326017831 · PHYSICIAN INDIVIDUAL UPIN (CA) WA76527B · MEDICARE INDIVIDUAL PROVI (CA) WG54806C · MEDICARE INDIVIDUAL PROVI (CA) G22223 · STATE LICENSE (CA) G54806 · STATE LICENSE (CA) 1801865381 · PHYSICIAN INDIVIDUAL PIN (CA) A76527 · STATE LICENSE (CA) GR0049180 (CA) WA76527A · MEDICARE INDIVIDUAL PROVI (CA) WG22223A · MEDICARE INDIVIDUAL PROVI (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 | 4 | 1 | 7 | 9 | 7 | 6 | 7 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 4 | 2 | 7 | 9 | 7 | 3 | 7 | 0 |
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.