LA BELLE VIE COSMETIC SURGERY CENTER
NPI 1902062706
Plastic Surgery in Tukwila, WA

NPI Status: Active since July 31, 2008

Contact Information

16400 SOUTHCENTER PARKWAY
SUITE 101
TUKWILA, WA
ZIP 98188
Phone: (206) 575-0300
Fax: (206) 575-1881

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  • Organization
  • Plastic Surgery
  • CLIA Number: 50D2256275
  • CLIA Cert. Type: Other - SURGICAL FACILITY
  • CLIA Exp. Date: 04-04-2028

About LA BELLE VIE COSMETIC SURGERY CENTER

This page provides the complete NPI Profile along with additional information for La Belle Vie Cosmetic Surgery Center, a provider established in Tukwila, Washington operating as a Plastic Surgery. The healthcare provider is registered in the NPI registry with number 1902062706 assigned on July 2008. The practitioner's primary taxonomy code is 208200000X with license number MD00032241 (WA). The provider is registered as an organization and their NPI record was last updated 7 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 provider's is doing business as La Belle Vie Cosmetic Surgery Center. The authorized official of this NPI record is Mr. Elmer Antonio Mangubat Md (Medical Director)

NPI
1902062706
Provider Legal Name
TOTAL HEALTH MEDICAL INSTITUTE LLC
Other Organization Name
LA BELLE VIE COSMETIC SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
16400 SOUTHCENTER PARKWAY SUITE 101 TUKWILA, WA 98188
Location Phone
(206) 575-0300
Location Fax
(206) 575-1881
Mailing Address
16400 SOUTHCENTER PARKWAY SUITE 101 TUKWILA, WA 98188
Mailing Phone
(206) 575-0300
Mailing Fax
(206) 575-1881
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-31-2008
Last Update Date
01-30-2019
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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

Plastic Surgery

Taxonomy Code
208200000X
Type
Allopathic & Osteopathic Physicians
License No.
MD00032241
License State
WA
Taxonomy Description
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

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.

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

MR. ELMER ANTONIO MANGUBAT MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(206) 575-0300

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
50D2256275
Facility Type
Other - SURGICAL FACILITY
Certificate Effective Date
March 22, 2022
Certificate Expiration Date
April 04, 2028
Laboratory Director
ELMER MANGUBAT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to La Belle Vie Cosmetic Surgery 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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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 1902062706, we treat the final digit (6) 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 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

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
9
Unchanged
Pos 3
0
Doubled → 0
Pos 4
2
Unchanged
Pos 5
0
Doubled → 0
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
0
Doubled → 0
Check
6
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 0 → 0 0 → 0 2 → 4 0 → 0

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 0 + 2 + 0 + 6 + 4 + 7 + 0 + 24 = 54

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

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1902062706.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902062706, enumerated as an "organization" on July 31, 2008.

The provider is located at 16400 SOUTHCENTER PARKWAY SUITE 101 TUKWILA, WA 98188 and the phone number is (206) 575-0300.

Plastic Surgery with taxonomy code 208200000X.