PEDIATRIC HEALTH CARE ALLIANCE, PA
NPI 1407522352
Pediatrics in Wesley Chapel, FL

NPI Status: Active since August 20, 2021

Contact Information

5259 VILLAGE MARKET
WESLEY CHAPEL, FL
ZIP 33544
Phone: (813) 973-0333
Fax: (813) 973-2313

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pediatrics
Accepts Insurance
CLIA Number: 10D0902416
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 09-16-2026

About PEDIATRIC HEALTH CARE ALLIANCE, PA

This page provides the complete NPI Profile along with additional information for Pediatric Health Care Alliance, Pa, a pediatrician established in Wesley Chapel, Florida operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1407522352 assigned on August 2021. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Debra S Gonzalez (Coo)

NPI: 1407522352
Provider Name: PEDIATRIC HEALTH CARE ALLIANCE, PA
Entity Type: Organization
Location Address: 5259 VILLAGE MARKET WESLEY CHAPEL, FL 33544
Location Phone: (813) 973-0333
Location Fax: (813) 973-2313
Mailing Address: 720 BROOKER CREEK BLVD STE 215 OLDSMAR, FL 34677
Mailing Phone: (813) 854-2003
Mailing Fax: (813) 973-2313
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 08-20-2021
Last Update Date: 08-10-2022
Code Navigator

A pediatrician like Pediatric Health Care Alliance, Pa is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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: Pediatrics
Taxonomy Code: 208000000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Florida Blue (BlueCross BlueShield FL)

BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) - PPO
BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - PPO
BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) - PPO
BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) - PPO
BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - PPO
BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) - PPO
BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) - PPO
BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - PPO
BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - PPO
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - PPO
BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) - PPO
BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - PPO
BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) - PPO
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) - EPO
BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - EPO
BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - EPO
BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) - EPO
BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) - EPO
BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) - EPO

Florida Blue HMO (a BlueCross BlueShield FL company)

BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) - POS
BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) - POS
BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) - POS
BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) - POS
BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) - POS
BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) - POS
BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) - POS
BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) - POS
BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) - POS
BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) - POS
BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) - POS
BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) - POS
BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) - POS
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) - POS
BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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: DEBRA S GONZALEZ
Authorized Official Title: COO
Authorized Official Phone: (813) 854-2003

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: 10D0902416
Facility Type: Physician Office
Certificate Effective Date: September 17, 2024
Certificate Expiration Date: September 16, 2026
Laboratory Director: JACQUELINE V. HARTMAN MD
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Pediatric Health Care Alliance, Pa 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.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	4	0	7	5	2	2	3	5	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	4	0	7	10	2	4	3	10
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 1 + 0 + 2 + 4 + 3 + 1 + 0 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 2									2

The NPI number 1407522352 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 7 providers are registered at the same or nearby location.

DAVID PAUL IACONO APRN

Nurse Practitioner

(Family)