ADULT MEDICINE AND DIAGNOSTIC CENTER
NPI 1902173271
Clinic/Center in Gonzales, LA
NPI Status: Active since November 30, 2011
Contact Information
2211 S BURNSIDE AVE STE 4
GONZALES, LA
ZIP 70737
Phone: (225) 647-1947
Fax: (225) 644-3943
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 19D0972006
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-27-2028
About ADULT MEDICINE AND DIAGNOSTIC CENTER
This page provides the complete NPI Profile along with additional information for Adult Medicine And Diagnostic Center, a provider established in Gonzales, Louisiana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1902173271 assigned on November 2011. The practitioner's primary taxonomy code is 261Q00000X with license number 022083 (LA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Mrs. Hanna Kalinowska Vazquez (Office Manager)
- NPI
- 1902173271
- Provider Name
- ADULT MEDICINE AND DIAGNOSTIC CENTER
- Entity Type
- Organization
- Location Address
- 2211 S BURNSIDE AVE STE 4 GONZALES, LA 70737
- Location Phone
- (225) 647-1947
- Location Fax
- (225) 644-3943
- Mailing Address
- 2211 S BURNSIDE AVE STE 4 GONZALES, LA 70737
- Mailing Phone
- (225) 647-1947
- Mailing Fax
- (225) 644-3943
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-30-2011
- Last Update Date
- 09-02-2016
- 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
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 022083
- License State
- LA
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
- Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible - PPO
- Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits - PPO
- Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible - PPO
- Blue Max Copay (PCP) 60/40 $6000 Standardized - PPO
- Blue Max Copay (PCP) 75/55 $2000 Standardized - PPO
- Blue Saver 60/40 $6100 - PPO
- Blue Saver 90/70 $3400 - PPO
- Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits - POS
- Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible - POS
- Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible - POS
- Blue POS Copay (PCP) 60/40 $6000 Standardized - POS
- Blue POS Copay (PCP) 75/55 $2000 Standardized - POS
- Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits - POS
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| G58731 | MEDICARE UPIN (02) | LA | |
| 5Y810 | MEDICARE PIN (08) | LA | |
| 1495859 | MEDICAID (05) | LA |
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
- 19D0972006
- Facility Type
- Physician Office
- Certificate Effective Date
- March 28, 2026
- Certificate Expiration Date
- March 27, 2028
- Laboratory Director
- CARLOS R. VAZQUEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Adult Medicine And Diagnostic 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 1902173271, we treat the final digit (1) 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 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
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 59 is 60. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1902173271, enumerated as an "organization" on November 30, 2011.
The provider is located at 2211 S BURNSIDE AVE STE 4 GONZALES, LA 70737 and the phone number is (225) 647-1947.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: AmeriHealth Caritas Next, Blue Cross and Blue. Please consult your insurance carrier or call the provider to verify.
