CLINICA LA ESPERANZA
NPI 1568768042
Clinic/Center in Albuquerque, NM
NPI Status: Active since February 01, 2011
Contact Information
4201 CENTRAL AVE NW
K3
ALBUQUERQUE, NM
ZIP 87105
Phone: (505) 717-1685
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 32D2027496
- CLIA Cert. Type: Practitioner Other
- CLIA Exp. Date: 07-25-2025
About CLINICA LA ESPERANZA
This page provides the complete NPI Profile along with additional information for Clinica La Esperanza, a provider established in Albuquerque, New Mexico operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1568768042 assigned on February 2011. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. Clinica La Esperanza 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 La Esperanza. The authorized official of this NPI record is Mr. Olena Dziuba (Cfo)
- NPI
- 1568768042
- Provider Legal Name
- OMNI MEDICAL GROUP LLC
- Other Organization Name
- CLINICA LA ESPERANZA
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 4201 CENTRAL AVE NW K3 ALBUQUERQUE, NM 87105
- Location Phone
- (505) 717-1685
- Mailing Address
- 4201 CENTRAL AVE NW STE K3 ALBUQUERQUE, NM 87105
- Mailing Phone
- (505) 508-1739
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-01-2011
- Last Update Date
- 01-19-2015
- Code Navigator
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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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 | 204C00000X | Allopathic & Osteopathic Physicians | Neuromusculoskeletal Medicine, Sports Medicine | 6556 (NM) |
| 2 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 3 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | PA20030032 (NM) |
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
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Elite Bronze - PPO
- Elite Bronze + Vision + Adult Dental - PPO
- Elite Gold - PPO
- Elite Gold + Vision + Adult Dental - PPO
- Everyday Bronze - PPO
- Everyday Bronze + Vision + Adult Dental - PPO
- Everyday Gold - PPO
- Everyday Gold + Vision + Adult Dental - PPO
- Focused Silver - PPO
- Focused Silver + Vision + Adult Dental - PPO
- Standard Expanded Bronze - PPO
- Standard Expanded Bronze + Vision + Adult Dental - PPO
- Standard Gold - PPO
- Standard Gold + Vision + Adult Dental - PPO
- Standard Silver - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5126223 | MEDICAID (05) | NM |
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
- 32D2027496
- Facility Type
- Practitioner Other
- Certificate Effective Date
- July 26, 2023
- Certificate Expiration Date
- July 25, 2025
- Laboratory Director
- ROBERT M. MARTIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Clinica La Esperanza in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for CLINICA LA ESPERANZA
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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 | 5 | 6 | 8 | 7 | 6 | 8 | 0 | 4 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 12 | 8 | 14 | 6 | 16 | 0 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 2 + 8 + 1 + 4 + 6 + 1 + 6 + 0 + 8 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1568768042 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1427280767 | MILAGRO PHYSICAL THERAPY, LLC Organization | Physical Therapist | 4201 CENTRAL AVE NW SUITE K-2 ALBUQUERQUE, NM 87105 (505) 429-2686 |
| 1356633432 | FAMILY SMILES, LLC Organization | Dentist (General Practice) | 4201 CENTRAL AVE NW F-1 ALBUQUERQUE, NM 87105 (505) 843-7172 |
| 1104174168 | DR. ELLY BUNSUN KIM D.D.S. Individual | Dentist (General Practice) | 4201 CENTRAL AVE NW ALBUQUERQUE, NM 87105 (505) 843-7172 |
| 1699161216 | TURQUOISE MESA LLC Organization | Nurse Practitioner (Family) | 4201 CENTRAL AVE NW SUITE K-2 ALBUQUERQUE, NM 87105 (505) 503-7250 |
| 1740635846 | CADE CLINICAL CONSULTING LLC Organization | Nurse Practitioner (Family) | 4201 CENTRAL AVE NW SUITE K-2 ALBUQUERQUE, NM 87105 (505) 503-7250 |
| 1962567883 | RAMON ROSA DUARTE MD Individual | Internal Medicine (Nephrology) | 4201 CENTRAL AVE NW SUITE K-2 ALBUQUERQUE, NM 87105 (505) 639-5438 |
| 1083000699 | RENAL AND INTERNAL MEDICINE CONSULTANT PC Organization | Internal Medicine (Nephrology) | 4201 CENTRAL AVE NW SUITE K-2 ALBUQUERQUE, NM 87105 (505) 639-5438 |
| 1124374004 | JULIANNE AUSTIN A.R.N.P. Individual | Nurse Practitioner (Family) | 4201 CENTRAL AVE NW SUITE K2 ALBUQUERQUE, NM 87105 (505) 503-7250 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1568768042, enumerated in the NPI registry as an "organization" on February 01, 2011
The provider is located at 4201 Central Ave Nw K3 Albuquerque, Nm 87105 and the phone number is (505) 717-1685
This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 32D2027496 for a "practitioner other" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on February 01, 2011. 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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