CLERMONT CANCER CENTER, LLC
NPI 1225411812
Radiology - Radiation Oncology in Clermont, FL

NPI Status: Active since July 01, 2015

Contact Information

1361 CITRUS TOWER BLVD
SUITE 100
CLERMONT, FL
ZIP 34711
Phone: (352) 242-1366

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  • Organization
  • Radiology
  • Radiation Oncology
  • CLIA Number: 10D2111668
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 04-11-2026

About CLERMONT CANCER CENTER, LLC

This page provides the complete NPI Profile along with additional information for Clermont Cancer Center, Llc, a provider established in Clermont, Florida operating as a Radiology, focusing in radiation oncology . The healthcare provider is registered in the NPI registry with number 1225411812 assigned on July 2015. The practitioner's primary taxonomy code is 2085R0001X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Nicki Mcknight Chc (Compliance Director)

NPI
1225411812
Provider Name
CLERMONT CANCER CENTER, LLC
Entity Type
Organization
Location Address
1361 CITRUS TOWER BLVD SUITE 100 CLERMONT, FL 34711
Location Phone
(352) 242-1366
Mailing Address
2865 E COAST HWY SUITE 200 CORONA DEL MAR, CA 92625
Mailing Phone
(949) 207-3300
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2015
Last Update Date
07-01-2015
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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

Radiology Radiation Oncology

Taxonomy Code
2085R0001X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

NICKI MCKNIGHT CHC

Authorized Official Title
COMPLIANCE DIRECTOR
Authorized Official Phone
(949) 385-5012

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
10D2111668
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
April 12, 2024
Certificate Expiration Date
April 11, 2026
Laboratory Director
BAO L. HUYNH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Clermont Cancer Center, Llc 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 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 1225411812, 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 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
2
Unchanged
Pos 3
2
Doubled → 4
Pos 4
5
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
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 2 → 4 4 → 8 1 → 2 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 8 + 1 + 2 + 8 + 2 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1225411812.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Internal Medicine (Hematology & Oncology)
1361 CITRUS TOWER BLVD
CLERMONT, FL 34711
Internal Medicine (Hematology & Oncology)
1361 CITRUS TOWER BLVD, SUITE 202
CLERMONT, FL 34711

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225411812, enumerated as an "organization" on July 01, 2015.

The provider is located at 1361 CITRUS TOWER BLVD SUITE 100 CLERMONT, FL 34711 and the phone number is (352) 242-1366.

Radiology with taxonomy code 2085R0001X and a focus in Radiation Oncology.