CLINICA ESPERANZA-HOPE PRIMARY CARE, LLC
NPI 1104865757
Internal Medicine in Mesa, AZ
NPI Status: Active since June 06, 2006
Contact Information
3048 E BASELINE RD STE 122
MESA, AZ
ZIP 85204
Phone: (480) 497-5933
Fax: (480) 497-5934
- Organization
- Internal Medicine
- Accepts Insurance
- CLIA Number: 03D2177886
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 01-20-2026
About CLINICA ESPERANZA-HOPE PRIMARY CARE, LLC
This page provides the complete NPI Profile along with additional information for Clinica Esperanza-hope Primary Care, Llc, an internist established in Mesa, Arizona operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1104865757 assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Clinica Esperanza-hope Primary Care, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Clinica Esperanza-hope Primary Care, Llc. The authorized official of this NPI record is Mariley M Segrera-grabania (President)
- NPI
- 1104865757
- Provider Legal Name
- HOPE DIABETES CENTER, LLC
- Other Organization Name
- CLINICA ESPERANZA-HOPE PRIMARY CARE, LLC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 3048 E BASELINE RD STE 122 MESA, AZ 85204
- Location Phone
- (480) 497-5933
- Location Fax
- (480) 497-5934
- Mailing Address
- PO BOX 838 GILBERT, AZ 85299
- Mailing Phone
- (480) 497-5933
- Mailing Fax
- (480) 497-5934
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-06-2006
- Last Update Date
- 08-02-2024
- Code Navigator
An internist like Clinica Esperanza-hope Primary Care, Llc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 333 W Thomas Rd Ste 208A
Phoenix, AZ 85013
(480) 497-5933
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
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 2409 (AZ) |
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:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
- Medica Individual Choice Bronze Share - HMO
- Medica Individual Choice Expanded Bronze Standard - HMO
- Medica Individual Choice Gold $0 Copay PCP Visits - HMO
- Medica Individual Choice Gold Share - HMO
- Medica Individual Choice Gold Standard - HMO
- Medica Individual Choice Silver $0 Copay PCP Visits - HMO
- Medica Individual Choice Silver Share - HMO
- Medica Individual Choice Silver 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
- 03D2177886
- Facility Type
- Physician Office
- Certificate Effective Date
- January 21, 2024
- Certificate Expiration Date
- January 20, 2026
- Laboratory Director
- RAKESH GADDAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Clinica Esperanza-hope Primary Care, Llc 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. | |||||||||
| 1 | 1 | 0 | 4 | 8 | 6 | 5 | 7 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 6 | 10 | 7 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 6 + 1 + 0 + 7 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1104865757 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1386421063 | MARILEY M SEGRERA-GRABANIA Individual | Specialist (Research Study) | 3048 E BASELINE RD STE 122 MESA, AZ 85204 (480) 497-5933 |
| 1932984762 | DERRICK WASHINGTON FNP-BC Individual | Nurse Practitioner (Family) | 3048 E BASELINE RD STE 122 MESA, AZ 85204 (760) 401-7428 |
| 1073038824 | DOROTHY IGWE Individual | Nurse Practitioner (Psychiatric/Mental Health) | 3048 E BASELINE RD STE 122 MESA, AZ 85204 (602) 980-8703 |
| 1962173252 | MIND-BODY CONNECTIONS Organization | Nurse Practitioner (Psychiatric/Mental Health) | 3048 E BASELINE RD STE 122 MESA, AZ 85204 (602) 980-8703 |
| 1508689274 | NEW VIDA MEDICAL LLC Organization | Clinic/Center | 3048 E BASELINE RD STE 122 MESA, AZ 85204 (480) 497-5933 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104865757, enumerated in the NPI registry as an "organization" on June 06, 2006
The provider is located at 3048 E Baseline Rd Ste 122 Mesa, Az 85204 and the phone number is (480) 497-5933
This medical organization specializes in Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, BannerAetna. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 03D2177886 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 June 06, 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.