VIRGINIA ADVANCED MEDICAL CENTER, PC
NPI 1942451695
Clinic/Center - Primary Care in Fairfax, VA

NPI Status: Active since September 30, 2008

Contact Information

3930 PENDER DR STE 320
FAIRFAX, VA
ZIP 22030
Phone: (703) 817-7770
Fax: (703) 563-6274

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  • Organization
  • Clinic/Center
  • Primary Care
  • CLIA Number: 49D2120223
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-11-2026

About VIRGINIA ADVANCED MEDICAL CENTER, PC

This page provides the complete NPI Profile along with additional information for Virginia Advanced Medical Center, Pc, a primary care provider established in Fairfax, Virginia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1942451695 assigned on September 2008. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 14 years ago. The authorized official of this NPI record is Chin Kim (Physician)

NPI
1942451695
Provider Name
VIRGINIA ADVANCED MEDICAL CENTER, PC
Entity Type
Organization
Location Address
3930 PENDER DR STE 320 FAIRFAX, VA 22030
Location Phone
(703) 817-7770
Location Fax
(703) 563-6274
Mailing Address
3930 PENDER DR STE 320 FAIRFAX, VA 22030
Mailing Phone
(703) 817-7770
Mailing Fax
(703) 563-6274
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-30-2008
Last Update Date
08-22-2011
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A primary care provider (PCP) like Virginia Advanced Medical Center, Pc 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

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

CHIN KIM

Authorized Official Title
PHYSICIAN
Authorized Official Phone
(703) 817-7770

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
49D2120223
Facility Type
Physician Office
Certificate Effective Date
October 12, 2024
Certificate Expiration Date
October 11, 2026
Laboratory Director
CHIN OH KIM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Virginia Advanced Medical Center, Pc 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.
1942451695
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2982852618
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 8 + 5 + 2 + 6 + 1 + 8 + 24 = 75
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 75 = 55

The NPI number 1942451695 is valid because the calculated check digit 5 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
1770636508 CHIN OH KIM MD
Individual
Internal Medicine3930 PENDER DR STE 320
FAIRFAX, VA 22030
(703) 817-7770

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942451695, enumerated in the NPI registry as an "organization" on September 30, 2008

The provider is located at 3930 Pender Dr Ste 320 Fairfax, Va 22030 and the phone number is (703) 817-7770

This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care

The provider's CLIA number is 49D2120223 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 September 30, 2008. 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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