BESO WELLNESS AND LONGEVITY CENTER, PLLC
NPI 1639885031
Family Medicine in Phoenix, AZ

NPI Status: Active since January 30, 2023

Contact Information

4731 E UNION HILLS DR STE 114
PHOENIX, AZ
ZIP 85050
Phone: (480) 447-8166
Fax: (480) 562-5913

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  • Organization
  • Family Medicine
  • CLIA Number: 03D2270513
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-16-2026

About BESO WELLNESS AND LONGEVITY CENTER, PLLC

This page provides the complete NPI Profile along with additional information for Beso Wellness And Longevity Center, Pllc, a primary care provider established in Phoenix, Arizona operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1639885031 assigned on January 2023. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years 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 Ms. Naomi Fayzulayev Fnp-bc (Owner)

NPI
1639885031
Provider Name
BESO WELLNESS AND LONGEVITY CENTER, PLLC
Entity Type
Organization
Location Address
4731 E UNION HILLS DR STE 114 PHOENIX, AZ 85050
Location Phone
(480) 447-8166
Location Fax
(480) 562-5913
Mailing Address
4731 E UNION HILLS DR STE 114 PHOENIX, AZ 85050
Mailing Phone
(480) 447-8166
Mailing Fax
(480) 562-5913
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-30-2023
Last Update Date
01-30-2023
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A primary care provider (PCP) like Beso Wellness And Longevity Center, Pllc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. NAOMI FAYZULAYEV FNP-BC

Authorized Official Title
OWNER
Authorized Official Phone
(480) 447-8166

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
03D2270513
Facility Type
Physician Office
Certificate Effective Date
October 17, 2024
Certificate Expiration Date
October 16, 2026
Laboratory Director
NAOMI FAYZULAYEV
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Beso Wellness And Longevity Center, Pllc 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.
1639885031
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
26691681006
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 1 + 6 + 8 + 1 + 0 + 0 + 6 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1639885031 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639885031, enumerated in the NPI registry as an "organization" on January 30, 2023

The provider is located at 4731 E Union Hills Dr Ste 114 Phoenix, Az 85050 and the phone number is (480) 447-8166

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

The provider's CLIA number is 03D2270513 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 January 30, 2023. 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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