PACIFIC ADVANCED SURGICAL SERVICES
NPI 1144821752
Clinic/Center - Ambulatory Surgical in Petaluma, CA

NPI Status: Active since November 02, 2020

Contact Information

191 LYNCH CREEK WAY STE 101
PETALUMA, CA
ZIP 94954
Phone: (707) 495-9632

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical

About PACIFIC ADVANCED SURGICAL SERVICES

This page provides the complete NPI Profile along with additional information for Pacific Advanced Surgical Services, a provider established in Petaluma, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1144821752 assigned on November 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Eric Bruntlett (Coo)

NPI
1144821752
Provider Name
PACIFIC ADVANCED SURGICAL SERVICES
Entity Type
Organization
Location Address
191 LYNCH CREEK WAY STE 101 PETALUMA, CA 94954
Location Phone
(707) 495-9632
Mailing Address
191 LYNCH CREEK WAY STE 101 PETALUMA, CA 94954
Mailing Phone
(707) 495-9632
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-02-2020
Last Update Date
11-09-2022
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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

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

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

ERIC BRUNTLETT

Authorized Official Title
COO
Authorized Official Phone
(707) 495-9632

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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 1144821752, we treat the final digit (2) 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 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

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

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 8 + 4 + 1 + 6 + 2 + 2 + 7 + 1 + 0 + 24 = 58

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

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1144821752.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144821752, enumerated as an "organization" on November 02, 2020.

The provider is located at 191 LYNCH CREEK WAY STE 101 PETALUMA, CA 94954 and the phone number is (707) 495-9632.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.