JSA MEDICAL GROUP SUN CITY CENTER
NPI 1437496882
Non-Pharmacy Dispensing Site in Ruskin, FL
- Organization
- Non-Pharmacy Dispensing Site
- Accepts Insurance
- CLIA Number: 10D1026074
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 05-25-2028
About JSA MEDICAL GROUP SUN CITY CENTER
This page provides the complete NPI Profile along with additional information for Jsa Medical Group Sun City Center, a provider established in Ruskin, Florida operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1437496882 assigned on January 2013. The practitioner's primary taxonomy code is 332900000X with license number ME83064 (FL). The provider is registered as an organization and their NPI record was last updated 7 years ago. The provider's is doing business as Jsa Medical Group Sun City Center. The authorized official of this NPI record is John G. Liethen (Secretary)
- NPI
- 1437496882 Verify this NPI
- Provider Legal Name
- OPTUMCARE FLORIDA, LLC
- Other Organization Name
- JSA MEDICAL GROUP SUN CITY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 733 CORTARO DR RUSKIN, FL 33573
- Location Phone
- (813) 634-2500
- Mailing Address
- 10051 5TH STREET NORTH ST. PETERSBURG, FL 33702
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-04-2013
- Last Update Date
- 08-19-2019
- 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
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- ME83064
- License State
- FL
- Taxonomy Description
- A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sanford Individual Simplicity $1,750 - PPO
- Sanford Individual Simplicity $10,600 - PPO
- Sanford Individual Simplicity $3,500 - PPO
- Sanford Individual Simplicity $4,750 - PPO
- Sanford Individual Simplicity $6,500 - PPO
- Sanford Individual Simplicity $7,200 HSA Qualified - PPO
- Sanford Individual Simplicity Standardized $2,000 - PPO
- Sanford Individual Simplicity Standardized $6,000 - PPO
- Sanford Individual Simplicity Standardized $7,500 - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $10,600 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,500 - HMO
- Sanford Individual TRUE $7,200 HSA Qualified - HMO
- Sanford Individual TRUE Standardized $2,000 - HMO
- Sanford Individual TRUE Standardized $6,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 10D1026074
- Facility Type
- Physician Office
- Certificate Effective Date
- May 26, 2026
- Certificate Expiration Date
- May 25, 2028
- Laboratory Director
- VU XUAN TRAN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Jsa Medical Group Sun City Center 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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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1437496882, enumerated as an "organization" on January 04, 2013.
The provider is located at 733 CORTARO DR RUSKIN, FL 33573 and the phone number is (813) 634-2500.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
The provider might be accepting Accepts: Sanford Health Plan. Please consult your insurance carrier or call the provider to verify.
