BEACH MEDICAL X4 LLC
NPI 1053182212
Family Medicine in Altamonte Springs, FL

NPI Status: Active since January 15, 2024

Contact Information

104 MARCIA DR
ALTAMONTE SPRINGS, FL
ZIP 32714
Phone: (407) 502-0073

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  • Organization
  • Family Medicine
  • CLIA Number: 10D2332934
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-27-2027

About BEACH MEDICAL X4 LLC

This page provides the complete NPI Profile along with additional information for Beach Medical X4 Llc, a primary care provider established in Altamonte Springs, Florida operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1053182212 assigned on January 2024. 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. Beach Medical X4 Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ryan Naughtin Md (Mgr)

NPI
1053182212
Provider Name
BEACH MEDICAL X4 LLC
Entity Type
Organization
Location Address
104 MARCIA DR ALTAMONTE SPRINGS, FL 32714
Location Phone
(407) 502-0073
Mailing Address
104 MARCIA DR ALTAMONTE SPRINGS, FL 32714
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2024
Last Update Date
01-15-2024
Code Navigator

A primary care provider (PCP) like Beach Medical X4 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

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 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

RYAN NAUGHTIN MD

Authorized Official Title
MGR
Authorized Official Phone
(813) 466-8704

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
10D2332934
Facility Type
Physician Office
Certificate Effective Date
October 28, 2025
Certificate Expiration Date
October 27, 2027
Laboratory Director
RYAN J. NAUGHTIN
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Beach Medical X4 Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1053182212, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
2
Unchanged
Pos 9
1
Doubled → 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 1 → 2 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 2 + 8 + 4 + 2 + 2 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1053182212.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Optometrist
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Optometrist
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Optometrist
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Durable Medical Equipment & Medical Supplies
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Clinic/Center (Multi-Specialty)
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Nurse Practitioner (Family)
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714
Chiropractor
104 MARCIA DR
ALTAMONTE SPRINGS, FL 32714

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053182212, enumerated as an "organization" on January 15, 2024.

The provider is located at 104 MARCIA DR ALTAMONTE SPRINGS, FL 32714 and the phone number is (407) 502-0073.

Family Medicine with taxonomy code 207Q00000X.