VISTA CARDIOVASCULAR INNOVATIONS, LLC
NPI 1629788153
Surgery - Vascular Surgery in Bradenton, FL
NPI Status: Active since November 23, 2022
Contact Information
3904 CORTEZ RD W STE 300
BRADENTON, FL
ZIP 34210
Phone: (941) 545-8954
- Organization
- Surgery
- Vascular Surgery
- CLIA Number: 10D2286880
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-03-2027
About VISTA CARDIOVASCULAR INNOVATIONS, LLC
This page provides the complete NPI Profile along with additional information for Vista Cardiovascular Innovations, Llc, a provider established in Bradenton, Florida operating as a Surgery, focusing in vascular surgery . The healthcare provider is registered in the NPI registry with number 1629788153 assigned on November 2022. The practitioner's primary taxonomy code is 2086S0129X. The provider is registered as an organization and their NPI record was last updated 4 years 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 Enrique Rivera Md (Owner)
- NPI
- 1629788153
- Provider Name
- VISTA CARDIOVASCULAR INNOVATIONS, LLC
- Entity Type
- Organization
- Location Address
- 3904 CORTEZ RD W STE 300 BRADENTON, FL 34210
- Location Phone
- (941) 545-8954
- Mailing Address
- 3904 CORTEZ RD W STE 300 BRADENTON, FL 34210
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-23-2022
- Last Update Date
- 11-23-2022
- 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
Surgery Vascular Surgery
- Taxonomy Code
- 2086S0129X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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) |
|---|---|---|---|---|
| 1 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 2085R0204X | Allopathic & Osteopathic Physicians | Radiology |
Group Taxonomy 193400000X MULTIPLE 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
- 10D2286880
- Facility Type
- Physician Office
- Certificate Effective Date
- August 04, 2025
- Certificate Expiration Date
- August 03, 2027
- Laboratory Director
- ENRIQUE RIVERA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Vista Cardiovascular Innovations, 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 1629788153, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
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 67 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629788153, enumerated as an "organization" on November 23, 2022.
The provider is located at 3904 CORTEZ RD W STE 300 BRADENTON, FL 34210 and the phone number is (941) 545-8954.
Surgery with taxonomy code 2086S0129X and a focus in Vascular Surgery.
