PRIMA MEDICAL GROUP
NPI 1154590958
Clinic/Center - Multi-Specialty in Sebastopol, CA
NPI Status: Active since February 26, 2008
Contact Information
652 PETALUMA AVE
SUITE H
SEBASTOPOL, CA
ZIP 95472
Phone: (707) 823-7616
Fax: (707) 823-2803
- Organization
- Clinic/Center
- Multi-Specialty
About PRIMA MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Prima Medical Group, a provider established in Sebastopol, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1154590958 assigned on February 2008. 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 Prima Medical Group. The authorized official of this NPI record is Dennis Mondragon (Coo)
- NPI
- 1154590958
- Provider Legal Name
- PRIMA MEDICAL FOUNDATION SEBASTOPOL
- Other Organization Name
- PRIMA MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 652 PETALUMA AVE SUITE H SEBASTOPOL, CA 95472
- Location Phone
- (707) 823-7616
- Location Fax
- (707) 823-2803
- Mailing Address
- 4 HAMILTON LNDG STE 100 NOVATO, CA 94949
- Mailing Phone
- (415) 884-1840
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-26-2008
- Last Update Date
- 04-24-2013
- 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
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) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center |
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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 1154590958, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).
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 52 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 16 providers are registered at the same or a nearby location.
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
SEBASTOPOL, CA 95472
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154590958, enumerated as an "organization" on February 26, 2008.
The provider is located at 652 PETALUMA AVE SUITE H SEBASTOPOL, CA 95472 and the phone number is (707) 823-7616.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
