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ELITE PLUS MEDICAL CLINIC INC
NPI 1508694472
Internal Medicine in Cupertino, CA

Active since July 23, 2024CLIA 05D2325399 · Waiver
10430 S DE ANZA BLVD # 230B, CUPERTINO, CA 95014(408) 258-5083 Get Directions Write a Review

NPPES record last updated: July 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elite Plus Medical Clinic Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE PLUS MEDICAL CLINIC INC (NPI 1508694472) is a healthcare organization registered as an internal medicine in Cupertino, California and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through June 10, 2027 and lists Tam Hoang Nguyen, President, as its authorized official.

NPPES Registry Identity

NPI1508694472
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELITE PLUS MEDICAL CLINIC INC
Location Address10430 S DE ANZA BLVD # 230BCupertino, CA 95014-3019
Mailing Address4945 Palemetto Dunes CtSan Jose, CA 95138-2131 · (408) 258-5083
Phone(408) 258-5083
Organization SubpartNo
Authorized OfficialTam Hoang NguyenPresident · (408) 258-5083
Enumeration DateJuly 23, 2024
NPPES CertifiedJuly 23, 2024
✔ NPI 1508694472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
10430 S DE ANZA BLVD # 230B, Cupertino, CA 95014
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2325399

Elite Plus Medical Clinic, Inc · Cupertino, CA
Active · expires Jun 10, 2027
CLIA Number05D2325399
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorTam H. Nguyen
Laboratory Phone(408) 295-1886
Laboratory LocationElite Plus Medical Clinic, Inc10430 S Deanza Blvd #230b, Cupertino, CA 95014
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Plus Medical Clinic Inc's NPI number?

The NPI number for Elite Plus Medical Clinic Inc is 1508694472. It was assigned to this organization in the NPPES registry on July 23, 2024.

Where is Elite Plus Medical Clinic Inc located?

Elite Plus Medical Clinic Inc is located at 10430 S De Anza Blvd # 230B, Cupertino, CA 95014. The listed phone number is (408) 258-5083.

What is Elite Plus Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Elite Plus Medical Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2325399) is associated with this NPI, valid through June 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Plus Medical Clinic Inc was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.