INSTITUTE FOR HEALTH MANAGEMENT INC
NPI 1932321387
Internal Medicine - Nephrology in Petaluma, CA

NPI Status: Active since May 03, 2007

Contact Information

715 SOUTHPOINT BLVD
SUITE C
PETALUMA, CA
ZIP 94954
Phone: (707) 778-6019
Fax: (707) 778-6068

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  • Organization
  • Internal Medicine
  • Nephrology
  • CLIA Number: 05D0868551
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About INSTITUTE FOR HEALTH MANAGEMENT INC

This page provides the complete NPI Profile along with additional information for Institute For Health Management Inc, an internist established in Petaluma, California operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1932321387 assigned on May 2007. The practitioner's primary taxonomy code is 207RN0300X with license number G022984 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. Institute For Health Management Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Robert Park Md (Medical Director)

NPI
1932321387
Provider Name
INSTITUTE FOR HEALTH MANAGEMENT INC
Entity Type
Organization
Location Address
715 SOUTHPOINT BLVD SUITE C PETALUMA, CA 94954
Location Phone
(707) 778-6019
Location Fax
(707) 778-6068
Mailing Address
715 SOUTHPOINT BLVD SUITE C PETALUMA, CA 94954
Mailing Phone
(707) 778-6019
Mailing Fax
(707) 778-6068
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-03-2007
Last Update Date
04-13-2015
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An internist like Institute For Health Management Inc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
G022984
License State
CA
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. ROBERT PARK MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(707) 778-6019

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
A41800MEDICARE UPIN (02) 
ZZZ17631ZMEDICARE ID-TYPE UNSPECIFIED (04) 
G022984MEDICARE ID-TYPE UNSPECIFIED (04) 

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
05D0868551
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
DAVID A. CHAPPELL, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Institute For Health Management Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for INSTITUTE FOR HEALTH MANAGEMENT INC

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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.
1932321387
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2962622316
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 6 + 2 + 2 + 3 + 1 + 6 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1932321387 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609055599MS. LILIAN WALTERS NP
Individual
Nurse Practitioner (Obstetrics & Gynecology)715 SOUTHPOINT BLVD SUITE C
PETALUMA, CA 94954
(707) 778-6019
1780842724ASSOCIATED KIDNEY SPECIALISTS OF THE NORTH BAY, INC.
Organization
Internal Medicine (Nephrology)715 SOUTHPOINT BLVD SUITE C
PETALUMA, CA 94954
(707) 765-1501
1356773311 ANDRIA LAUREL STEINKAMP R.N., N.P.
Individual
Nurse Practitioner (Family)715 SOUTHPOINT BLVD SUITE C
PETALUMA, CA 94954
(707) 778-6019
1427485465 MARY A TIMMERMAN FNP
Individual
Nurse Practitioner (Primary Care)715 SOUTHPOINT BLVD
PETALUMA, CA 94954
(707) 778-6019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932321387, enumerated in the NPI registry as an "organization" on May 03, 2007

The provider is located at 715 Southpoint Blvd Suite C Petaluma, Ca 94954 and the phone number is (707) 778-6019

This medical organization specializes in Internal Medicine with taxonomy code 207RN0300X with a focus in Nephrology

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 05D0868551 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on May 03, 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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