ROY C. PETERSON M.D.
NPI 1164662714
Emergency Medicine - Emergency Medical Services in Tehachapi, CA

NPI Status: Active since February 23, 2009

Contact Information

115 WEST E STREET
TEHACHAPI, CA
ZIP 93581
Phone: (661) 972-2874
Fax: (661) 823-8106

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  • Individual
  • Male
  • Emergency Medicine
  • Emergency Medical Services

About ROY PETERSON

This page provides the complete NPI Profile along with additional information for Roy Peterson, a provider established in Tehachapi, California with a medical specialization in Emergency Medicine, focusing in emergency medical services . The healthcare provider is registered in the NPI registry with number 1164662714 assigned on February 2009. The practitioner's primary taxonomy code is 207PE0004X with license number G036719 (CA). The provider is registered as an individual and his NPI record was last updated 12 years ago.

NPI
1164662714
Provider Name
ROY C. PETERSON M.D.
Gender
Male
Entity Type
Individual
Location Address
115 WEST E STREET TEHACHAPI, CA 93581
Location Phone
(661) 972-2874
Location Fax
(661) 823-8106
Mailing Address
20322 OAKDALE LN TEHACHAPI, CA 93561
Mailing Phone
(661) 972-2874
Mailing Fax
(661) 823-8106
Is Sole Proprietor?
No
Enumeration Date
02-23-2009
Last Update Date
03-19-2014
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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

Emergency Medicine Emergency Medical Services

Taxonomy Code
207PE0004X
Type
Allopathic & Osteopathic Physicians
License No.
G036719
License State
CA
Taxonomy Description
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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)
1207QA0505XAllopathic & Osteopathic Physicians

Family Medicine
Adult Medicine

G036719 (CA)

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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 1164662714, we treat the final digit (4) 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 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

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
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
6
Unchanged
Pos 7
2
Doubled → 4
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
4
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 6 → 12 → 3 6 → 12 → 3 2 → 4 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 2 + 4 + 1 + 2 + 6 + 4 + 7 + 2 + 24 = 56

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

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1164662714.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164662714, enumerated as an "individual" on February 23, 2009.

The provider is located at 115 WEST E STREET TEHACHAPI, CA 93581 and the phone number is (661) 972-2874.

Emergency Medicine with taxonomy code 207PE0004X and a focus in Emergency Medical Services.