CORNERSTONE PRIMARY CARE, PLLC
NPI 1841681707
Clinic/Center - Health Service in Renton, WA

NPI Status: Active since February 13, 2015

Contact Information

17900 TALBOT RD S STE 102
RENTON, WA
ZIP 98055
Phone: (425) 255-9310

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  • Organization
  • Clinic/Center
  • Health Service
  • Accepts Insurance
  • CLIA Number: 50D0630803
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-04-2028

About CORNERSTONE PRIMARY CARE, PLLC

This page provides the complete NPI Profile along with additional information for Cornerstone Primary Care, Pllc, a provider established in Renton, Washington operating as a Clinic/center, focusing in health service . The healthcare provider is registered in the NPI registry with number 1841681707 assigned on February 2015. The practitioner's primary taxonomy code is 261QH0100X with license number MD 00023599 (WA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. John Mayeno Md (Member)

NPI
1841681707
Provider Name
CORNERSTONE PRIMARY CARE, PLLC
Entity Type
Organization
Location Address
17900 TALBOT RD S STE 102 RENTON, WA 98055
Location Phone
(425) 255-9310
Mailing Address
17900 TALBOT RD S STE 102 RENTON, WA 98055
Mailing Phone
(425) 255-9310
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-13-2015
Last Update Date
12-30-2015
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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

Clinic/Center Health Service

Taxonomy Code
261QH0100X
Type
Ambulatory Health Care Facilities
License No.
MD 00023599
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

*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

DR. JOHN MAYENO MD

Authorized Official Title
MEMBER
Authorized Official Phone
(425) 255-9310

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
50D0630803
Facility Type
Physician Office
Certificate Effective Date
August 30, 1996
Certificate Expiration Date
April 04, 2028
Laboratory Director
CRAIG H. MCGORAN
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Cornerstone Primary Care, Pllc 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.

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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.
1841681707
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2881128270
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 8 + 1 + 1 + 2 + 8 + 2 + 7 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1841681707 is valid because the calculated check digit 7 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 1841681707, enumerated in the NPI registry as an "organization" on February 13, 2015

The provider is located at 17900 Talbot Rd S Ste 102 Renton, Wa 98055 and the phone number is (425) 255-9310

This medical organization specializes in Clinic/Center with taxonomy code 261QH0100X with a focus in Health Service

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 50D0630803 for a "physician office" 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 13, 2015. 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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