ADVENTIST HEALTH MEDICAL SPECIALTIES
NPI 1144561770
Clinic/Center - Multi-Specialty in Fort Bragg, CA
NPI Status: Active since March 06, 2013
Contact Information
721 RIVER DR
SUITE C
FORT BRAGG, CA
ZIP 95437
Phone: (707) 463-8000
Fax: (707) 462-1111
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 05D0612511
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 11-15-2026
About ADVENTIST HEALTH MEDICAL SPECIALTIES
This page provides the complete NPI Profile along with additional information for Adventist Health Medical Specialties, a provider established in Fort Bragg, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1144561770 assigned on March 2013. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Adventist Health Medical Specialties. The authorized official of this NPI record is Mr. Kirby J Mckague (Cfo)
- NPI
- 1144561770
- Provider Legal Name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Other Organization Name
- ADVENTIST HEALTH MEDICAL SPECIALTIES
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 721 RIVER DR SUITE C FORT BRAGG, CA 95437
- Location Phone
- (707) 463-8000
- Location Fax
- (707) 462-1111
- Mailing Address
- 2100 DOUGLAS BLVD ROSEVILLE, CA 95661
- Mailing Phone
- (916) 789-4209
- Mailing Fax
- (707) 462-1111
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 03-06-2013
- Last Update Date
- 03-08-2013
- 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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
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
- 05D0612511
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- November 16, 2024
- Certificate Expiration Date
- November 15, 2026
- Laboratory Director
- JODI PARUNGOO MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Adventist Health Medical Specialties 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 1144561770, 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 60. The final step is to find the difference between that total and the next multiple of ten (60 - 60 = 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.
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 60 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
FORT BRAGG, CA 95437
FORT BRAGG, CA 95437
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144561770, enumerated as an "organization" on March 06, 2013.
The provider is located at 721 RIVER DR SUITE C FORT BRAGG, CA 95437 and the phone number is (707) 463-8000.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
