PRIVIA MEDICAL GROUP ARIZONA, LLC
NPI 1245876705
Psychiatry & Neurology - Neurology in Phoenix, AZ
NPI Status: Active since November 20, 2019
Contact Information
14001 N 7TH ST STE F111
PHOENIX, AZ
ZIP 85022
Phone: (602) 633-3780
Fax: (602) 633-3782
- Organization
- Psychiatry & Neurology
- Neurology
- CLIA Number: 03D2099043
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-19-2027
About PRIVIA MEDICAL GROUP ARIZONA, LLC
This page provides the complete NPI Profile along with additional information for Privia Medical Group Arizona, Llc, a provider established in Phoenix, Arizona operating as a Psychiatry & Neurology, focusing in neurology . The healthcare provider is registered in the NPI registry with number 1245876705 assigned on November 2019. The practitioner's primary taxonomy code is 2084N0400X. The provider is registered as an organization and their NPI record was last updated one year 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 Mindy Smith (Ceo)
- NPI
- 1245876705
- Provider Name
- PRIVIA MEDICAL GROUP ARIZONA, LLC
- Entity Type
- Organization
- Location Address
- 14001 N 7TH ST STE F111 PHOENIX, AZ 85022
- Location Phone
- (602) 633-3780
- Location Fax
- (602) 633-3782
- Mailing Address
- 3815 E BELL RD STE 2200 PHOENIX, AZ 85032
- Mailing Phone
- (602) 633-3848
- Mailing Fax
- (602) 633-3782
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-20-2019
- Last Update Date
- 05-02-2025
- 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
Psychiatry & Neurology Neurology
- Taxonomy Code
- 2084N0400X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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.
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
- 03D2099043
- Facility Type
- Physician Office
- Certificate Effective Date
- July 20, 2025
- Certificate Expiration Date
- July 19, 2027
- Laboratory Director
- JOHN E. VANDRUFF
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Privia Medical Group Arizona, 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 1245876705, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245876705, enumerated as an "organization" on November 20, 2019.
The provider is located at 14001 N 7TH ST STE F111 PHOENIX, AZ 85022 and the phone number is (602) 633-3780.
Psychiatry & Neurology with taxonomy code 2084N0400X and a focus in Neurology.
