OMNI DERMATOLOGY ESTRELLA LLC
NPI 1225570732
Specialist in Phoenix, AZ

NPI Status: Active since November 15, 2016

Contact Information

9305 W THOMAS RD
STE 350
PHOENIX, AZ
ZIP 85037
Phone: (623) 478-8000
Fax: (623) 478-8003

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  • Organization
  • Specialist
  • CLIA Number: 03D1083664
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-15-2026

About OMNI DERMATOLOGY ESTRELLA LLC

This page provides the complete NPI Profile along with additional information for Omni Dermatology Estrella Llc, a provider established in Phoenix, Arizona operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1225570732 assigned on November 2016. The practitioner's primary taxonomy code is 174400000X. The provider is registered as an organization and their NPI record was last updated 10 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 Dr. Andrew Joseph Racette D.o. (President)

NPI
1225570732
Provider Name
OMNI DERMATOLOGY ESTRELLA LLC
Entity Type
Organization
Location Address
9305 W THOMAS RD STE 350 PHOENIX, AZ 85037
Location Phone
(623) 478-8000
Location Fax
(623) 478-8003
Mailing Address
4840 E INDIAN SCHOOL RD STE 102 PHOENIX, AZ 85018
Mailing Phone
(602) 954-3919
Mailing Fax
(623) 478-8003
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-15-2016
Last Update Date
11-15-2016
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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

DR. ANDREW JOSEPH RACETTE D.O.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(602) 954-3919

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
03D1083664
Facility Type
Physician Office
Certificate Effective Date
June 16, 2024
Certificate Expiration Date
June 15, 2026
Laboratory Director
ANDREW RACETTE
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Omni Dermatology Estrella 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 1225570732, 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
5
Doubled → 10 → 1 + 0
Pos 6
7
Unchanged
Pos 7
0
Doubled → 0
Pos 8
7
Unchanged
Pos 9
3
Doubled → 6
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 5 → 10 → 1 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 4 + 5 + 1 + 0 + 7 + 0 + 7 + 6 + 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 1225570732.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Obstetrics & Gynecology (Gynecology)
9305 W THOMAS RD, STE 155
PHOENIX, AZ 85037
Obstetrics & Gynecology (Obstetrics)
9305 W THOMAS RD, STE 155
PHOENIX, AZ 85037
Physical Therapist
9305 W THOMAS RD, SUITE 150
PHOENIX, AZ 85037
Physician Assistant
9305 W THOMAS RD, SUITE 275
PHOENIX, AZ 85037
Pediatrics
9305 W THOMAS RD, SUITE #410
PHOENIX, AZ 85037
Specialist
9305 W THOMAS RD, SUITE 360
PHOENIX, AZ 85037
Internal Medicine
9305 W THOMAS RD, #285
PHOENIX, AZ 85037
Clinic/Center
9305 W THOMAS RD, #285
PHOENIX, AZ 85037
Anesthesiology
9305 W THOMAS RD, SUITE 500
PHOENIX, AZ 85037
Internal Medicine (Rheumatology)
9305 W THOMAS RD, STE 455
PHOENIX, AZ 85037
Pediatrics
9305 W THOMAS RD, SUITE 450
PHOENIX, AZ 85037
Pediatrics
9305 W THOMAS RD, STE 450
PHOENIX, AZ 85037
Obstetrics & Gynecology
9305 W THOMAS RD, SUITE 385
PHOENIX, AZ 85037
Obstetrics & Gynecology
9305 W THOMAS RD, SUITE 155
PHOENIX, AZ 85037
Durable Medical Equipment & Medical Supplies
9305 W THOMAS RD, SUITE 465
PHOENIX, AZ 85037
Surgery
9305 W THOMAS RD, SUITE 250
PHOENIX, AZ 85037
Clinic/Center (Sleep Disorder Diagnostic)
9305 W THOMAS RD, SUITE 465
PHOENIX, AZ 85037
Clinic/Center (Sleep Disorder Diagnostic)
9305 W THOMAS RD, SUITE 305
PHOENIX, AZ 85037
Durable Medical Equipment & Medical Supplies
9305 W THOMAS RD, SUITE 305
PHOENIX, AZ 85037
Internal Medicine (Nephrology)
9305 W THOMAS RD, SUITE 570
PHOENIX, AZ 85037

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1225570732, enumerated as an "organization" on November 15, 2016.

The provider is located at 9305 W THOMAS RD STE 350 PHOENIX, AZ 85037 and the phone number is (623) 478-8000.

Specialist with taxonomy code 174400000X.