ALTEA MEDICAL CLINIC PLLC
NPI 1669883864
Health Maintenance Organization in Yuma, AZ

NPI Status: Active since May 12, 2014

Contact Information

1210 W 24TH ST STE 2
YUMA, AZ
ZIP 85364
Phone: (928) 726-2500
Fax: (928) 726-7853

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  • Organization
  • Health Maintenance Organization
  • Accepts Insurance
  • CLIA Number: 03D2080377
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 07-02-2026

About ALTEA MEDICAL CLINIC PLLC

This page provides the complete NPI Profile along with additional information for Altea Medical Clinic Pllc, a provider established in Yuma, Arizona operating as a Health Maintenance Organization. The healthcare provider is registered in the NPI registry with number 1669883864 assigned on May 2014. The practitioner's primary taxonomy code is 302R00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Vernon Chavez Md (Owner)

NPI
1669883864
Provider Name
ALTEA MEDICAL CLINIC PLLC
Entity Type
Organization
Location Address
1210 W 24TH ST STE 2 YUMA, AZ 85364
Location Phone
(928) 726-2500
Location Fax
(928) 726-7853
Mailing Address
1210 W 24TH ST STE 2 YUMA, AZ 85364
Mailing Phone
(928) 726-2500
Mailing Fax
(928) 726-7853
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-12-2014
Last Update Date
05-13-2014
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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

Health Maintenance Organization

Taxonomy Code
302R00000X
Type
Managed Care Organizations
Taxonomy Description
(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model.

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

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.

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

VERNON CHAVEZ MD

Authorized Official Title
OWNER
Authorized Official Phone
(928) 726-2500

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
PENDINGMEDICAID (05)AZ 

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
03D2080377
Facility Type
Physician Office
Certificate Effective Date
July 03, 2024
Certificate Expiration Date
July 02, 2026
Laboratory Director
VERNON CHAVEZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Altea Medical Clinic 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.

Reviews for ALTEA MEDICAL CLINIC PLLC

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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.
1669883864
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
261291686812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 1 + 2 + 9 + 1 + 6 + 8 + 6 + 8 + 1 + 2 + 24 = 76
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 76 = 44

The NPI number 1669883864 is valid because the calculated check digit 4 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
1528168655 BARBARA LAIDMAN N.P.
Individual
Licensed Practical Nurse1210 W 24TH ST STE 2
YUMA, AZ 85364
(928) 726-2500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669883864, enumerated in the NPI registry as an "organization" on May 12, 2014

The provider is located at 1210 W 24th St Ste 2 Yuma, Az 85364 and the phone number is (928) 726-2500

This medical organization specializes in Health Maintenance Organization with taxonomy code 302R00000X

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 03D2080377 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 May 12, 2014. 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.