KAISER FOUND HOSPITAL PHY #58B
NPI 1053548230
Pharmacy - Institutional Pharmacy in Santa Rosa, CA

NPI Status: Active since June 16, 2009

Contact Information

3975 OLD REDWOOD HWY FL 2
SANTA ROSA, CA
ZIP 95403
Phone: (707) 566-5900

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  • Organization
  • Pharmacy
  • Institutional Pharmacy
  • CLIA Number: 05D0683953
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 06-13-2027

About KAISER FOUND HOSPITAL PHY #58B

This page provides the complete NPI Profile along with additional information for Kaiser Found Hospital Phy #58b, a provider established in Santa Rosa, California operating as a Pharmacy, focusing in institutional pharmacy . The healthcare provider is registered in the NPI registry with number 1053548230 assigned on June 2009. The practitioner's primary taxonomy code is 3336I0012X with license number HSP48856 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Kaiser Found Hospital Phy #58b. The authorized official of this NPI record is Kathryn Renouard Brown (Vp Pharmacy Operations And Services)

NPI
1053548230
Provider Legal Name
KAISER FOUNDATION HOSPITALS
Other Organization Name
KAISER FOUND HOSPITAL PHY #58B
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3975 OLD REDWOOD HWY FL 2 SANTA ROSA, CA 95403
Location Phone
(707) 566-5900
Mailing Address
1800 HARRISON ST FL 13 OAKLAND, CA 94612
Mailing Phone
(707) 566-5900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-16-2009
Last Update Date
04-20-2021
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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

Pharmacy Institutional Pharmacy

Taxonomy Code
3336I0012X
Type
Suppliers
License No.
HSP48856
License State
CA
Taxonomy Description
A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1333600000XSuppliers

Pharmacy

HSP48856 (CA)

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

KATHRYN RENOUARD BROWN

Authorized Official Title
VP PHARMACY OPERATIONS AND SERVICES
Authorized Official Phone
(510) 625-2363

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
05D0683953
Facility Type
Hospital
Certificate Effective Date
June 14, 2025
Certificate Expiration Date
June 13, 2027
Laboratory Director
DR. LIAN-SONG CHEN
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Kaiser Found Hospital Phy #58b on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1053548230, we treat the final digit (0) 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 0).

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.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
3
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
4
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
0
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 0 + 3 + 1 + 0 + 4 + 1 + 6 + 2 + 6 + 24 = 50

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1053548230.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053548230, enumerated as an "organization" on June 16, 2009.

The provider is located at 3975 OLD REDWOOD HWY FL 2 SANTA ROSA, CA 95403 and the phone number is (707) 566-5900.

Pharmacy with taxonomy code 3336I0012X and a focus in Institutional Pharmacy.