VIDA MEDICAL GROUP PA
NPI 1245743889
Nurse Practitioner - Family in Homestead, FL
NPI Status: Active since November 06, 2017
Contact Information
26847 S DIXIE HWY
HOMESTEAD, FL
ZIP 33032
Phone: (305) 258-9352
Fax: (786) 404-3604
- Organization
- Nurse Practitioner
- Family
- Accepts Insurance
- CLIA Number: 10D2141813
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 12-20-2025
About VIDA MEDICAL GROUP PA
This page provides the complete NPI Profile along with additional information for Vida Medical Group Pa, a provider established in Homestead, Florida operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1245743889 assigned on November 2017. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Dagoberto Marquez Aprn11013592 (Owner)
- NPI
- 1245743889
- Provider Name
- VIDA MEDICAL GROUP PA
- Entity Type
- Organization
- Location Address
- 26847 S DIXIE HWY HOMESTEAD, FL 33032
- Location Phone
- (305) 258-9352
- Location Fax
- (786) 404-3604
- Mailing Address
- 26847 S DIXIE HWY HOMESTEAD, FL 33032
- Mailing Phone
- (305) 258-9352
- Mailing Fax
- (786) 404-3604
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-06-2017
- Last Update Date
- 05-16-2024
- Code Navigator
A nurse practitioner (NP) like Vida Medical Group Pa is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
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
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Moda Health Affinity Bronze 7750 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Moda Pioneer Alaska Standard Bronze - PPO
- Moda Pioneer Alaska Standard Gold - PPO
- Moda Pioneer Alaska Standard Silver - PPO
- Moda Pioneer Bronze 6500 - PPO
- Moda Pioneer Bronze HDHP 5500 - PPO
- Moda Pioneer Gold 1500 - PPO
- Moda Pioneer Silver 4500 - PPO
*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
- 10D2141813
- Facility Type
- Physician Office
- Certificate Effective Date
- December 21, 2023
- Certificate Expiration Date
- December 20, 2025
- Laboratory Director
- DAGABERTO MARQUEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Vida Medical Group Pa 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 | 2 | 4 | 5 | 7 | 4 | 3 | 8 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 14 | 4 | 6 | 8 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 1 + 4 + 4 + 6 + 8 + 1 + 6 + 24 = 71 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 71 = 9 | 9 | ||||||||
The NPI number 1245743889 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following provider is registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1982273587 | DAGOBERTO MARQUEZ APRN Individual | Nurse Practitioner (Primary Care) | 26847 S DIXIE HWY HOMESTEAD, FL 33032 (305) 285-9352 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245743889, enumerated in the NPI registry as an "organization" on November 06, 2017
The provider is located at 26847 S Dixie Hwy Homestead, Fl 33032 and the phone number is (305) 258-9352
This medical organization specializes in Nurse Practitioner with taxonomy code 363LF0000X with a focus in Family
The provider might be accepting Accepts: Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 10D2141813 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 06, 2017. 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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