COAST GUARD TRAINING CENTER PETALUMA
NPI 1710041058
Clinic/Center - Military/U.S. Coast Guard Outpatient in Petaluma, CA
NPI Status: Active since December 21, 2006
Contact Information
599 TOMALES RD
HEALTH SERVICES DIVISION
PETALUMA, CA
ZIP 94952
Phone: (707) 765-7200
Fax: (707) 765-7521
- Organization
- Clinic/Center
- Military/U.S. Coast Guard Outpatient
About COAST GUARD TRAINING CENTER PETALUMA
This page provides the complete NPI Profile along with additional information for Coast Guard Training Center Petaluma, a provider established in Petaluma, California operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1710041058 assigned on December 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 16 years ago. The authorized official of this NPI record is Mr. Gerry Rodriguez (Clinic Administrator)
- NPI
- 1710041058
- Provider Name
- COAST GUARD TRAINING CENTER PETALUMA
- Entity Type
- Organization
- Location Address
- 599 TOMALES RD HEALTH SERVICES DIVISION PETALUMA, CA 94952
- Location Phone
- (707) 765-7200
- Location Fax
- (707) 765-7521
- Mailing Address
- 599 TOMALES RD HEALTH SERVICES DIVISION PETALUMA, CA 94952
- Mailing Phone
- (707) 765-7200
- Mailing Fax
- (707) 765-7521
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-21-2006
- Last Update Date
- 05-07-2009
- 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 Military/U.S. Coast Guard Outpatient
- Taxonomy Code
- 261QM1100X
- Type
- Ambulatory Health Care Facilities
- License State
- CA
- Taxonomy Description
- The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
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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. | |||||||||
| 1 | 7 | 1 | 0 | 0 | 4 | 1 | 0 | 5 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 7 | 2 | 0 | 0 | 4 | 2 | 0 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 7 + 2 + 0 + 0 + 4 + 2 + 0 + 1 + 0 + 24 = 42 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 42 = 8 | 8 | ||||||||
The NPI number 1710041058 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1437127446 | MS. CATHERINE VICTORIA FEELEY Individual | Technician, Other | 599 TOMALES RD HEALTH SERVICES DIVISION PETALUMA, CA 94952 (707) 765-7702 |
| 1770525859 | SCOTT JAMES KEPPEL Individual | Technician, Other | 599 TOMALES RD PETALUMA, CA 94952 (707) 765-7702 |
| 1669565628 | DARRELL E VANCE Individual | Technician, Other | 599 TOMALES RD RALPH R. NIX CLINIC PETALUMA, CA 94952 (707) 765-7200 |
| 1730272394 | MISS MARIANNE WHITFIELD RDH Individual | Dental Hygienist | 599 TOMALES RD PETALUMA, CA 94952 (707) 765-7234 |
| 1104914555 | MRS. ERMA ABRAZADO PAYNE HEALTH SERVICES TECH Individual | Technician, Other | 599 TOMALES RD US COAST GUARD TRACEN PETALUMA PETALUMA, CA 94952 (707) 765-7833 |
| 1538239215 | PETALUMA TRACEN USCG PHCY Organization | Military/U.S. Coast Guard Pharmacy | 599 TOMALES RD PETALUMA, CA 94952 (707) 765-7294 |
| 1144395260 | ANNA C BROTHERS Individual | Technician, Other | 599 TOMALES RD MEDICAL CLINIC PETALUMA, CA 94952 (707) 765-7702 |
| 1598830655 | JEFFREY RYAN LARSEN HS3 Individual | Technician, Other | 599 TOMALES RD PETALUMA, CA 94952 (707) 765-7200 |
| 1396883567 | ROBERT THEODORE KULBETH HS1 Individual | Military Health Care Provider (Independent Duty Medical Technicians) | 599 TOMALES RD PETALUMA, CA 94952 (707) 765-7056 |
| 1255471355 | MR. DAVID L SULLIVAN JR. Individual | Technician, Other | 599 TOMALES RD HS A SCHOOL PETALUMA, CA 94952 (707) 765-7493 |
| 1235279654 | MR. ROGER ALLEN ELLIOTT Individual | Technician, Other | 599 TOMALES RD BLDG 125 HSA PETALUMA, CA 94952 (707) 765-7714 |
| 1467593145 | MR. DEWAYNE ALBERT BECK HSC Individual | Military Health Care Provider | 599 TOMALES RD USCG TRACEN PETALUMA PETALUMA, CA 94952 (707) 765-7525 |
| 1255473880 | MR. RAMON LEE MARTINEZ HEALTH SERVICES TECH Individual | Technician, Other | 599 TOMALES RD PETALUMA, CA 94952 (707) 765-7719 |
| 1598807679 | MR. ROBERT EUGENE ROSE Individual | Technician, Other | 599 TOMALES RD HS A SCHOOL PETALUMA, CA 94952 (707) 765-7043 |
| 1356484257 | ELIZABETH BECK Individual | Technician, Other | 599 TOMALES RD JNB RM. 402 PETALUMA, CA 94952 (707) 765-7296 |
| 1376671743 | GLENN T ROYES HSC Individual | Clinic/Center (Military/U.S. Coast Guard Outpatient) | 599 TOMALES RD PETALUMA, CA 94952 (707) 765-7491 |
| 1710018171 | MR. GEORGE S MCCALL MEDIC Individual | Military Health Care Provider | 599 TOMALES RD PETALUMA, CA 94952 (707) 765-7783 |
| 1114132503 | LARRY HOWARD LEE BOWEN ARRT(R) EMT(B) Individual | Radiologic Technologist (Radiography) | 599 TOMALES RD HEALTH SERVICES 'A' SCHOOL PETALUMA, CA 94952 (707) 765-7488 |
| 1578773404 | MR. DAMON RUSSELL LAWSON JR. HS, IDHS, USCG Individual | Military Health Care Provider (Independent Duty Corpsman) | 599 TOMALES RD PETALUMA, CA 94952 (707) 765-7797 |
| 1396947651 | ORLANDO L MAYO Individual | Military Health Care Provider (Independent Duty Medical Technicians) | 599 TOMALES RD RALPH R. NIX CLINIC PETALUMA, CA 94952 (707) 765-7200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710041058, enumerated in the NPI registry as an "organization" on December 21, 2006
The provider is located at 599 Tomales Rd Health Services Division Petaluma, Ca 94952 and the phone number is (707) 765-7200
This medical organization specializes in Clinic/Center with taxonomy code 261QM1100X with a focus in Military/U.S. Coast Guard Outpatient
This NPI record was last updated on December 21, 2006. 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].
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