PEMBROKE PINES VA CBOC
NPI 1134168529
Clinic/Center - VA in Hollywood, FL

NPI Status: Active since June 04, 2006

Contact Information

7369 SHERIDAN ST
SUITE 102
HOLLYWOOD, FL
ZIP 33024
Phone: (866) 793-4591

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  • Organization
  • Clinic/Center
  • VA
  • CLIA Number: 10D1001686
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 05-22-2026

About PEMBROKE PINES VA CBOC

This page provides the complete NPI Profile along with additional information for Pembroke Pines Va Cboc, a provider established in Hollywood, Florida operating as a Clinic/center, focusing in va . The healthcare provider is registered in the NPI registry with number 1134168529 assigned on June 2006. The practitioner's primary taxonomy code is 261QV0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Pembroke Pines Va Cboc. The authorized official of this NPI record is Erin Potter (Npi Team Member)

NPI
1134168529
Provider Legal Name
MIAMI VAMC
Other Organization Name
PEMBROKE PINES VA CBOC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
7369 SHERIDAN ST SUITE 102 HOLLYWOOD, FL 33024
Location Phone
(866) 793-4591
Mailing Address
PO BOX 94466 CLEVELAND, OH 44101
Mailing Phone
(866) 793-4591
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2006
Last Update Date
03-28-2023
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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 VA

Taxonomy Code
261QV0200X
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

ERIN POTTER

Authorized Official Title
NPI TEAM MEMBER
Authorized Official Phone
(202) 382-2579

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
10D1001686
Facility Type
Community Clinic
Certificate Effective Date
July 17, 2002
Certificate Expiration Date
May 22, 2026
Laboratory Director
RAFAEL VALENZUELA
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Pembroke Pines Va Cboc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1134168529, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
1
Doubled → 2
Pos 6
6
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
5
Unchanged
Pos 9
2
Doubled → 4
Check
9
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 3 → 6 1 → 2 8 → 16 → 7 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 6 + 4 + 2 + 6 + 1 + 6 + 5 + 4 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1134168529.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Physician Assistant (Medical)
7369 SHERIDAN ST, SUITE 102
PEMBROKE PINES, FL 33024
Clinic/Center (Sleep Disorder Diagnostic)
7369 SHERIDAN ST, SUITE 302 B
HOLLYWOOD, FL 33024
Internal Medicine (Pulmonary Disease)
7369 SHERIDAN ST, SUITE 302
HOLLYWOOD, FL 33024
Social Worker (Clinical)
7369 SHERIDAN ST
HOLLYWOOD, FL 33024
Internal Medicine (Pulmonary Disease)
7369 SHERIDAN ST
HOLLYWOOD, FL 33024
Counselor (Mental Health)
7369 SHERIDAN ST
HOLLYWOOD, FL 33024

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134168529, enumerated as an "organization" on June 04, 2006.

The provider is located at 7369 SHERIDAN ST SUITE 102 HOLLYWOOD, FL 33024 and the phone number is (866) 793-4591.

Clinic/Center with taxonomy code 261QV0200X and a focus in VA.