FIVE STAR MEDICAL CLINIC
NPI 1093984171
Preferred Provider Organization in Chandler, AZ
NPI Status: Active since February 22, 2008
Contact Information
2175 N. ALMA SCHOOL RD.
SUITE A- 104
CHANDLER, AZ
ZIP 85224
Phone: (480) 275-4415
Fax: (480) 275-4577
- Organization
- Preferred Provider Organization
- Accepts Insurance
- CLIA Number: 03D2068332
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-31-2027
About FIVE STAR MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Five Star Medical Clinic, a provider established in Chandler, Arizona operating as a Preferred Provider Organization. The healthcare provider is registered in the NPI registry with number 1093984171 assigned on February 2008. The practitioner's primary taxonomy code is 305R00000X with license number 29719 (AZ). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Five Star Medical Clinic. The authorized official of this NPI record is Mrs. Maria Manuela Gonzalez-landestoy Md (Owner/physician)
- NPI
- 1093984171
- Provider Legal Name
- MMGL, LLC
- Other Organization Name
- FIVE STAR MEDICAL CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2175 N. ALMA SCHOOL RD. SUITE A- 104 CHANDLER, AZ 85224
- Location Phone
- (480) 275-4415
- Location Fax
- (480) 275-4577
- Mailing Address
- 2175 N. ALMA SCHOOL RD. SUITE A- 104 CHANDLER, AZ 85224
- Mailing Phone
- (480) 275-4415
- Mailing Fax
- (480) 275-4577
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-22-2008
- Last Update Date
- 02-19-2020
- Code Navigator
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
Preferred Provider Organization
- Taxonomy Code
- 305R00000X
- Type
- Managed Care Organizations
- License No.
- 29719
- License State
- AZ
- Taxonomy Description
- A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
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
- 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.
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.
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 |
|---|---|---|---|
| Z78260 | OTHER (01) | AZ | MEDICARE GROUP NUMBER |
| 632697 | MEDICAID (05) | AZ | |
| 0744170 | OTHER (01) | AZ | AZ BC/BS |
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
- 03D2068332
- Facility Type
- Physician Office
- Certificate Effective Date
- November 01, 2025
- Certificate Expiration Date
- October 31, 2027
- Laboratory Director
- MARIA M. GONZALEZ-LANDESTOY
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Five Star Medical Clinic 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 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 1093984171, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093984171, enumerated as an "organization" on February 22, 2008.
The provider is located at 2175 N. ALMA SCHOOL RD. SUITE A- 104 CHANDLER, AZ 85224 and the phone number is (480) 275-4415.
Preferred Provider Organization with taxonomy code 305R00000X.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare,. Please consult your insurance carrier or call the provider to verify.
