ORIGIN PREGNANCY BOUTIQUE
NPI 1255661583
Radiologic Technologist - Sonography in Mendocino, CA

NPI Status: Active since January 08, 2010

Contact Information

45040 MAIN STREET
B
MENDOCINO, CA
ZIP 95460
Phone: (707) 937-1477
Fax: (707) 937-1480

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  • Organization
  • Radiologic Technologist
  • Sonography

About ORIGIN PREGNANCY BOUTIQUE

This page provides the complete NPI Profile along with additional information for Origin Pregnancy Boutique, a provider established in Mendocino, California operating as a Radiologic Technologist, focusing in sonography . The healthcare provider is registered in the NPI registry with number 1255661583 assigned on January 2010. The practitioner's primary taxonomy code is 2471S1302X with license number RDMS81478 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Amy Davis Rdms (Owner/sonographer)

NPI
1255661583
Provider Name
ORIGIN PREGNANCY BOUTIQUE
Entity Type
Organization
Location Address
45040 MAIN STREET B MENDOCINO, CA 95460
Location Phone
(707) 937-1477
Location Fax
(707) 937-1480
Mailing Address
33275 PACIFIC WAY FORT BRAGG, CA 95437
Mailing Phone
(707) 937-1477
Mailing Fax
(707) 937-1480
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-08-2010
Last Update Date
01-08-2010
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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

Radiologic Technologist Sonography

Taxonomy Code
2471S1302X
Type
Technologists, Technicians & Other Technical Service Providers
License No.
RDMS81478
License State
CA
Taxonomy Description
A radiologic technologist who specializes in sonography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of ultrasounds, exam techniques, equipment protocols, radiation safety, and patient care.

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

AMY DAVIS RDMS

Authorized Official Title
OWNER/SONOGRAPHER
Authorized Official Phone
(707) 937-1477

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1255661583
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
221051262516
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 0 + 5 + 1 + 2 + 6 + 2 + 5 + 1 + 6 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1255661583 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548497316 AMY DAVIS R.D.M.S. 81478
Individual
Radiologic Technologist (Sonography)45040 MAIN STREET
MENDOCINO, CA 95460
(707) 937-1477

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255661583, enumerated in the NPI registry as an "organization" on January 08, 2010

The provider is located at 45040 Main Street B Mendocino, Ca 95460 and the phone number is (707) 937-1477

This medical organization specializes in Radiologic Technologist with taxonomy code 2471S1302X with a focus in Sonography

This NPI record was last updated on January 08, 2010. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.