LIVE OAK HEALTH PARTNERS
NPI 1104024280
Clinic/Center - Multi-Specialty in San Marcos, TX
NPI Status: Active since July 10, 2007
Contact Information
1340 WONDER WORLD DR STE 4301
SAN MARCOS, TX
ZIP 78666
Phone: (512) 353-6400
Fax: (512) 353-3039
- Organization
- Clinic/Center
- Multi-Specialty
- Accepts Insurance
- CLIA Number: 45D1056243
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-28-2026
About LIVE OAK HEALTH PARTNERS
This page provides the complete NPI Profile along with additional information for Live Oak Health Partners, a provider established in San Marcos, Texas operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1104024280 assigned on July 2007. The practitioner's primary taxonomy code is 261QM1300X with license number KL4732 (TX). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Live Oak Health Partners. The authorized official of this NPI record is Brent Hastings (Administrator)
- NPI
- 1104024280
- Provider Legal Name
- SPECIALTY PHYSICIANS OF CENTRAL TEXAS
- Other Organization Name
- LIVE OAK HEALTH PARTNERS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1340 WONDER WORLD DR STE 4301 SAN MARCOS, TX 78666
- Location Phone
- (512) 353-6400
- Location Fax
- (512) 353-3039
- Mailing Address
- 1340 WONDER WORLD DR STE 4301 SAN MARCOS, TX 78666
- Mailing Phone
- (512) 353-6400
- Mailing Fax
- (512) 353-3039
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-10-2007
- Last Update Date
- 03-06-2020
- Code Navigator
Location Map
Secondary Locations
- 1320 Wonder World Dr Ste 101
San Marcos, TX 78666
(512) 396-3911
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- KL4732
- License State
- TX
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze HMO? 204 - HMO
- Blue Advantage Bronze HMO? 301 - HMO
- Blue Advantage Bronze HMO? Standard - HMO
- Blue Advantage Gold HMO? 206 - HMO
- Blue Advantage Gold HMO? 603 - HMO
- Blue Advantage Gold HMO? Standard - HMO
- Blue Advantage Plus Bronze? 303 - POS
- Blue Advantage Plus Bronze? 305 - POS
- Blue Advantage Plus Bronze? Standard - POS
- Blue Advantage Plus Gold? 203 - POS
- Blue Advantage Plus Gold? 803 - POS
- Blue Advantage Plus Gold? Standard - POS
- Blue Advantage Plus Silver? 202 - POS
- Blue Advantage Plus Silver? 605 - POS
- Blue Advantage Plus Silver? Standard - POS
- Blue Advantage Security HMO? 200 - HMO
- Blue Advantage Silver HMO? 205 - HMO
- Blue Advantage Silver HMO? 801 - HMO
- Blue Advantage Silver HMO? Standard - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 45D1056243
- Facility Type
- Physician Office
- Certificate Effective Date
- March 01, 2024
- Certificate Expiration Date
- February 28, 2026
- Laboratory Director
- DR. NICOLE RIOJAS
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Live Oak Health Partners 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.
Reviews for LIVE OAK HEALTH PARTNERS
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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 | 1 | 0 | 4 | 0 | 2 | 4 | 2 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 0 | 2 | 8 | 2 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 0 + 2 + 8 + 2 + 1 + 6 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1104024280 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 6 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679069819 | JOHN HAYDEN HOLTZCLAW AU.D. Individual | Audiologist | 1340 WONDER WORLD DR STE 4301 SAN MARCOS, TX 78666 (855) 547-8369 |
| 1134747934 | DEVIN COLLETT Individual | Audiologist | 1340 WONDER WORLD DR STE 4301 SAN MARCOS, TX 78666 (855) 547-8369 |
| 1588774061 | MICHAEL JOHN BENCA MD Individual | Internal Medicine (Cardiovascular Disease) | 1340 WONDER WORLD DR STE 4301 SAN MARCOS, TX 78666 (512) 353-6400 |
| 1801398235 | HENRY MARTINEZ NP Individual | Nurse Practitioner (Family) | 1340 WONDER WORLD DR STE 4301 SAN MARCOS, TX 78666 (512) 353-6400 |
| 1154447852 | JESSICA CAMILLE SANDERS F.N.P. Individual | Nurse Practitioner (Family) | 1340 WONDER WORLD DR STE 4301 SAN MARCOS, TX 78666 (512) 353-6400 |
| 1295755965 | TRACI FORREST CNS APRN Individual | Clinical Nurse Specialist (Adult Health) | 1340 WONDER WORLD DR STE 4301 SAN MARCOS, TX 78666 (512) 353-6400 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104024280, enumerated in the NPI registry as an "organization" on July 10, 2007
The provider is located at 1340 Wonder World Dr Ste 4301 San Marcos, Tx 78666 and the phone number is (512) 353-6400
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D1056243 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 July 10, 2007. 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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