SONOMA COUNTY INDIAN HEALTH PROJECT INC.
NPI 1013298017
Clinic/Center - Mental Health (Including Community Mental Health Center) in Santa Rosa, CA
NPI Status: Active since September 02, 2011
Contact Information
144 STONY POINT RD
SANTA ROSA, CA
ZIP 95401
Phone: (707) 521-4545
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 05D0694929
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 12-22-2027
About SONOMA COUNTY INDIAN HEALTH PROJECT INC.
This page provides the complete NPI Profile along with additional information for Sonoma County Indian Health Project Inc., a provider established in Santa Rosa, California operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1013298017 assigned on September 2011. The practitioner's primary taxonomy code is 261QM0801X with license number 15758 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Mr. Molin Molicay (Corporate Executive Officer)
- NPI
- 1013298017
- Provider Name
- SONOMA COUNTY INDIAN HEALTH PROJECT INC.
- Entity Type
- Organization
- Location Address
- 144 STONY POINT RD SANTA ROSA, CA 95401
- Location Phone
- (707) 521-4545
- Mailing Address
- 144 STONY POINT RD SANTA ROSA, CA 95401
- Mailing Phone
- (707) 521-4545
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-02-2011
- Last Update Date
- 09-02-2011
- Code Navigator
Sonoma County Indian Health Project Inc. is a medicare supplier with PTAN 20516471 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs or Blood Glucose Monitors/Supplies (Non-Mail Order).
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 Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- Type
- Ambulatory Health Care Facilities
- License No.
- 15758
- License State
- CA
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20516471
- Accepts Medicare Assignment
- YES
- Specialities List
- Pharmacy.
- Competitive Bidding
- NO
Supplies List
- Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
- Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
- Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
- Oral Anticancer Drugs - FDA anticancer drugs
- Oral Antiemetic Drugs - FDA antiemetic drugs
- Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
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
- 05D0694929
- Facility Type
- Community Clinic
- Certificate Effective Date
- December 23, 2025
- Certificate Expiration Date
- December 22, 2027
- Laboratory Director
- DR. MARK C. GOODWIN
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Sonoma County Indian Health Project Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1013298017, we treat the final digit (7) 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 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 53 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
SANTA ROSA, CA 95401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013298017, enumerated as an "organization" on September 02, 2011.
The provider is located at 144 STONY POINT RD SANTA ROSA, CA 95401 and the phone number is (707) 521-4545.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).
