OPTUM PRIMARY CARE
NPI 1467563718
Family Medicine in Surprise, AZ

NPI Status: Active since August 31, 2006

Contact Information

14973 W BELL RD
#100
SURPRISE, AZ
ZIP 85374
Phone: (623) 815-2900
Fax: (623) 583-1319

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  • Organization
  • Family Medicine
  • CLIA Number: 03D0671256
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 06-30-2027

About OPTUM PRIMARY CARE

This page provides the complete NPI Profile along with additional information for Optum Primary Care, a primary care provider established in Surprise, Arizona operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1467563718 assigned on August 2006. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Optum Primary Care operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Optum Primary Care. The authorized official of this NPI record is Emily Castillo (Regional Manager)

NPI
1467563718
Provider Legal Name
SURPRISE HEALTH CENTER, PLLC
Other Organization Name
OPTUM PRIMARY CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
14973 W BELL RD #100 SURPRISE, AZ 85374
Location Phone
(623) 815-2900
Location Fax
(623) 583-1319
Mailing Address
16435 N SCOTTSDALE RD STE 400 SCOTTSDALE, AZ 85254
Mailing Phone
(602) 675-9005
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
09-02-2023
Code Navigator

A primary care provider (PCP) like Optum Primary Care sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 10825 W McDowell Road, Ste., 310 100
    AVONDALE, AZ 85392
    (602) 767-1959
  • 926 E McDowell Rd Ste 202
    Phoenix, AZ 85006
    (602) 609-4525
  • 14506 W Granite Valley Dr Ste 102100
    Sun City West, AZ 85375
    (623) 395-7878
  • 13660 N 94th Dr Ste C4
    Peoria, AZ 85381
    (623) 583-1319
  • 10825 W McDowell Road, Ste., 300
    AVONDALE, AZ 85392
    (602) 767-1959
  • 12361 W Bola Dr Ste 100
    Surprise, AZ 85378
    (602) 641-9486

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

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

EMILY CASTILLO

Authorized Official Title
REGIONAL MANAGER
Authorized Official Phone
(702) 480-2550

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
03D0671256
Facility Type
Physician Office
Certificate Effective Date
July 01, 2025
Certificate Expiration Date
June 30, 2027
Laboratory Director
LEO ODLE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Optum Primary Care 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 1467563718, we treat the final digit (8) 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 8).

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
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
8
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 6 → 12 → 3 5 → 10 → 1 3 → 6 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 1 + 0 + 6 + 6 + 7 + 2 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1467563718.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Family Medicine
14973 W BELL RD, STE #100
SURPRISE, AZ 85374
Registered Nurse (General Practice)
14973 W BELL RD, SUITE #100
SURPRISE, AZ 85374
Clinic/Center (Sleep Disorder Diagnostic)
14973 W BELL RD
SURPRISE, AZ 85374
Nurse Practitioner (Adult Health)
14973 W BELL RD
SURPRISE, AZ 85374
Non-Pharmacy Dispensing Site
14973 W BELL RD, SUITE 100
SURPRISE, AZ 85374
Physician Assistant
14973 W BELL RD, SUITE 100
SURPRISE, AZ 85374
Clinic/Center (Pain)
14973 W BELL RD
SURPRISE, AZ 85374
Surgery (Vascular Surgery)
14973 W BELL RD
SURPRISE, AZ 85374
Hearing Instrument Specialist
14973 W BELL RD
SURPRISE, AZ 85374

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467563718, enumerated as an "organization" on August 31, 2006.

The provider is located at 14973 W BELL RD #100 SURPRISE, AZ 85374 and the phone number is (623) 815-2900.

Family Medicine with taxonomy code 207Q00000X.