ADVANCED CENTER FOR WELLNESS, LLC
NPI 1952789513
Physician Assistant - Medical in Laredo, TX

NPI Status: Active since May 14, 2015

Contact Information

6801 MCPHERSON RD STE 213
LAREDO, TX
ZIP 78041
Phone: (956) 727-2629

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  • Organization
  • Physician Assistant
  • Medical
  • CLIA Number: 45D2004448
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-12-2027

About ADVANCED CENTER FOR WELLNESS, LLC

This page provides the complete NPI Profile along with additional information for Advanced Center For Wellness, Llc, a primary care provider established in Laredo, Texas operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1952789513 assigned on May 2015. The practitioner's primary taxonomy code is 363AM0700X with license number 207Q00000X (TX). The provider is registered as an organization and their NPI record was last updated 11 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 Jose Angel Gonzalez Jr. (Owner)

NPI
1952789513
Provider Name
ADVANCED CENTER FOR WELLNESS, LLC
Entity Type
Organization
Location Address
6801 MCPHERSON RD STE 213 LAREDO, TX 78041
Location Phone
(956) 727-2629
Mailing Address
6801 MCPHERSON RD STE 213 LAREDO, TX 78041
Mailing Phone
(956) 727-2629
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-14-2015
Last Update Date
05-14-2015
Code Navigator

A primary care provider (PCP) like Advanced Center For Wellness, Llc sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
207Q00000X
License State
TX

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

JOSE ANGEL GONZALEZ JR.

Authorized Official Title
OWNER
Authorized Official Phone
(956) 727-2629

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
45D2004448
Facility Type
Physician Office
Certificate Effective Date
March 13, 2025
Certificate Expiration Date
March 12, 2027
Laboratory Director
DR. JAMES A. BOURLAND
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Advanced Center For Wellness, Llc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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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 1952789513, 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.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
5
Unchanged
Pos 9
1
Doubled → 2
Check
3
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 5 → 10 → 1 7 → 14 → 5 9 → 18 → 9 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 9 + 1 + 0 + 2 + 1 + 4 + 8 + 1 + 8 + 5 + 2 + 24 = 67

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.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1952789513.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Nurse Practitioner
6801 MCPHERSON RD STE 213
LAREDO, TX 78041
Nurse Practitioner (Family)
6801 MCPHERSON RD STE 213
LAREDO, TX 78041
Family Medicine
6801 MCPHERSON RD STE 213
LAREDO, TX 78041

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952789513, enumerated as an "organization" on May 14, 2015.

The provider is located at 6801 MCPHERSON RD STE 213 LAREDO, TX 78041 and the phone number is (956) 727-2629.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.