CANYON VISTA MEDICAL CENTER
NPI 1104236090
Dietitian, Registered in Sierra Vista, AZ
NPI Status: Active since May 01, 2014
Contact Information
5700 E HIGHWAY 90
SIERRA VISTA, AZ
ZIP 85635
Phone: (520) 417-3001
- Organization
- Dietitian, Registered
- CLIA Number: 03D0673262
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About CANYON VISTA MEDICAL CENTER
This page provides the complete NPI Profile along with additional information for Canyon Vista Medical Center, a provider established in Sierra Vista, Arizona operating as a Dietitian, Registered. The healthcare provider is registered in the NPI registry with number 1104236090 assigned on May 2014. The practitioner's primary taxonomy code is 133V00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Canyon Vista Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Canyon Vista Medical Center. The authorized official of this NPI record is Charlotte Lawrence (Secretary)
- NPI
- 1104236090
- Provider Legal Name
- RCHP-SIERRA VISTA INC
- Other Organization Name
- CANYON VISTA MEDICAL CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 5700 E HIGHWAY 90 SIERRA VISTA, AZ 85635
- Location Phone
- (520) 417-3001
- Mailing Address
- 5700 E HIGHWAY 90 SIERRA VISTA, AZ 85635
- Mailing Phone
- (520) 417-3001
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-01-2014
- Last Update Date
- 02-09-2023
- 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
Dietitian, Registered
- Taxonomy Code
- 133V00000X
- Type
- Dietary & Nutritional Service Providers
- Taxonomy Description
- A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
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.
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
- 03D0673262
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- SIDNEY SEMRAD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Canyon Vista Medical Center 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 1104236090, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).
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 50 is 50. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
SIERRA VISTA, AZ 85635
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104236090, enumerated as an "organization" on May 01, 2014.
The provider is located at 5700 E HIGHWAY 90 SIERRA VISTA, AZ 85635 and the phone number is (520) 417-3001.
Dietitian, Registered with taxonomy code 133V00000X.
