Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

OPTIMAL FAMILY MEDICINE, PLLC
NPI 1902628597
Family Medicine in Bountiful, UT

Active since October 25, 2024CLIA 46D2314944 · Waiver
1455 S 500 W STE B, BOUNTIFUL, UT 84010(801) 784-2111 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Oct 10, 2025 (2 updates tracked since 2025).

About Optimal Family Medicine, Pllc NPPES

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

OPTIMAL FAMILY MEDICINE, PLLC (NPI 1902628597) is a healthcare organization registered as a family medicine in Bountiful, Utah and active in the NPI registry since October 2024. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists David Anderson, Pa-c, as its authorized official.

NPPES Registry Identity

NPI1902628597
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameOPTIMAL FAMILY MEDICINE, PLLC
Location Address1455 S 500 W STE BBountiful, UT 84010-8252
Mailing Address1455 S 500 W Ste BBountiful, UT 84010-8252 · (801) 784-2111 · Fax (844) 670-1991
Organization SubpartNo
Authorized OfficialDavid AndersonPa-c · (801) 784-2111
Enumeration DateOctober 25, 2024
Last NPPES UpdateJuly 30, 20262 updates tracked since enumeration
NPPES CertifiedJuly 30, 2026
NPI 1902628597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
1455 S 500 W STE B, Bountiful, UT 84010

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 46D2314944

Optimal Family Medicine, PLLC · Bountiful, UT
Active · expires Dec 2, 2026
CLIA Number46D2314944
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorDavid J. Anderson
Laboratory Phone(801) 870-9976
Laboratory LocationOptimal Family Medicine, PLLC1455 S 500 W, Suite B, Bountiful, UT 84010
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
1455 S 500 W STE B
BOUNTIFUL, UT 84010
General Practice
1455 S 500 W STE B
WOODS CROSS, UT 84010

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 Optimal Family Medicine, PLLC's NPI number?

The NPI number for Optimal Family Medicine, PLLC is 1902628597. It was assigned to this organization in the NPPES registry on October 25, 2024.

Where is Optimal Family Medicine, PLLC located?

Optimal Family Medicine, PLLC is located at 1455 S 500 W Ste B, Bountiful, UT 84010. The listed phone number is (801) 784-2111.

What is Optimal Family Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Optimal Family Medicine, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 46D2314944) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Optimal Family Medicine, PLLC accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Optimal Family Medicine, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Optimal Family Medicine, PLLC was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.