PETALUMA VALLEY HOSPITAL
NPI 1770703886
Skilled Nursing Facility in Petaluma, CA

NPI Status: Active since April 30, 2007

Contact Information

400 N MCDOWELL BLVD
PETALUMA, CA
ZIP 94954
Phone: (707) 778-2631
Fax: (707) 778-9117

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  • Organization
  • Skilled Nursing Facility

About PETALUMA VALLEY HOSPITAL

This page provides the complete NPI Profile along with additional information for Petaluma Valley Hospital, a provider established in Petaluma, California operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1770703886 assigned on April 2007. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Petaluma Valley Hospital. The authorized official of this NPI record is Mr. Michel Dante Riccioni Cpa (Chief Financial Officer)

NPI
1770703886
Provider Legal Name
SRM ALLIANCE HOSPITAL SERVICES
Other Organization Name
PETALUMA VALLEY HOSPITAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
400 N MCDOWELL BLVD PETALUMA, CA 94954
Location Phone
(707) 778-2631
Location Fax
(707) 778-9117
Mailing Address
1165 MONTGOMERY DR SANTA ROSA, CA 95405
Mailing Phone
(707) 525-5300
Mailing Fax
(707) 778-9117
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2007
Last Update Date
08-22-2020
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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

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

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

MR. MICHEL DANTE RICCIONI CPA

Authorized Official Title
CHIEF FINANCIAL OFFICER
Authorized Official Phone
(707) 525-5320

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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.
1770703886
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271401406816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 4 + 0 + 6 + 8 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1770703886 is valid because the calculated check digit 6 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
1477555944 JANETTE HAGER CRNFA
Individual
Registered Nurse400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1629010814 LINDSAY A AUTIO MD
Individual
Anesthesiology400 N MCDOWELL BLVD DEPARTMENT OF ANESTHESIA
PETALUMA, CA 94954
(415) 898-1228
1457382491 SUSAN BUREN M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1831120781 RODNEY B LOOK M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1649205915DR. STEPHEN KRICKL M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1871528182DR. PHILIP SULLIVAN M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1154356509DR. MICHAELA SHEPPHARD M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1104841956DR. EARL HERR M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1306861158DR. HENRY LOREN FONG M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1215099619ROBERT I OSTROFF MD INC
Organization
General Acute Care Hospital400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1518176460 MICHAEL REPKO M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1912109240 ROBERT I OSTROFF M.D.
Individual
Internal Medicine400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1174844674 ANDREW K CHINNOCK FNP
Individual
Nurse Practitioner400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 776-8066
1316139066 KOKEB TESHOME M.D.
Individual
Internal Medicine400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1861717829 KRISTIN C KUZMA
Individual
Emergency Medicine400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1013901669 JOHN FRANCIS TOTON M.D.
Individual
Specialist400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-2631
1962536912SRM ALLIANCE HOSPITAL SERVICES
Organization
General Acute Care Hospital400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-2631
1760413793DR. MARGARET PEACOCK M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1053346353DR. DONALD SCOTT SCHMIDT M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111
1578590147 ALBERT SAE M.D.
Individual
Emergency Medicine (Emergency Medical Services)400 N MCDOWELL BLVD
PETALUMA, CA 94954
(707) 778-1111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770703886, enumerated in the NPI registry as an "organization" on April 30, 2007

The provider is located at 400 N Mcdowell Blvd Petaluma, Ca 94954 and the phone number is (707) 778-2631

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

This NPI record was last updated on April 30, 2007. 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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