PRIMARY CARE 369 LLC
NPI 1760034300
Clinic/Center - Primary Care in Boca Raton, FL
NPI Status: Active since July 14, 2019
Contact Information
9980 CENTRAL PARK BLVD N STE 314
BOCA RATON, FL
ZIP 33428
Phone: (561) 315-0198
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 10D2174292
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-28-2025
About PRIMARY CARE 369 LLC
This page provides the complete NPI Profile along with additional information for Primary Care 369 Llc, a primary care provider established in Boca Raton, Florida operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1760034300 assigned on July 2019. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Dr. Gayatri Siram Md (Owner)
- NPI
- 1760034300
- Provider Name
- PRIMARY CARE 369 LLC
- Entity Type
- Organization
- Location Address
- 9980 CENTRAL PARK BLVD N STE 314 BOCA RATON, FL 33428
- Location Phone
- (561) 315-0198
- Mailing Address
- 8990 LAKEVIEW PL PARKLAND, FL 33076
- Mailing Phone
- (954) 801-5172
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-14-2019
- Last Update Date
- 12-05-2019
- Code Navigator
A primary care provider (PCP) like Primary Care 369 Llc 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 .
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 Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
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
- 10D2174292
- Facility Type
- Physician Office
- Certificate Effective Date
- October 29, 2023
- Certificate Expiration Date
- October 28, 2025
- Laboratory Director
- GAYATRI SIRAM
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Primary Care 369 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 | 7 | 6 | 0 | 0 | 3 | 4 | 3 | 0 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 12 | 0 | 0 | 3 | 8 | 3 | 0 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 2 + 0 + 0 + 3 + 8 + 3 + 0 + 24 = 50 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1760034300 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1689841710 | DAVID S MARGOLIS MD PA Organization | Surgery (Trauma Surgery) | 9980 CENTRAL PARK BLVD N STE 314 BOCA RATON, FL 33428 (561) 488-3113 |
1346998812 | SOUTH FLORIDA SURGICAL SPECIALISTS, LLC Organization | Surgery | 9980 CENTRAL PARK BLVD N STE 314 BOCA RATON, FL 33428 (561) 483-3989 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1760034300, enumerated in the NPI registry as an "organization" on July 14, 2019
The provider is located at 9980 Central Park Blvd N Ste 314 Boca Raton, Fl 33428 and the phone number is (561) 315-0198
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 10D2174292 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 July 14, 2019. 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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