SANTA ROSA MEDICAL CENTER
NPI 1184676728
Physician Assistant - Medical in Las Vegas, NV

NPI Status: Active since May 16, 2006

Contact Information

4161 S EASTERN AVE
LAS VEGAS, NV
ZIP 89119
Phone: (702) 693-6222
Fax: (702) 369-6504

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  • Organization
  • Physician Assistant
  • Medical
  • CLIA Number: 29D1022978
  • CLIA Cert. Type: Practitioner Other
  • CLIA Exp. Date: 03-03-2026

About SANTA ROSA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Santa Rosa Medical Center, a primary care provider established in Las Vegas, Nevada operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1184676728 assigned on May 2006. The practitioner's primary taxonomy code is 363AM0700X with license number 576 (NV). The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Santa Rosa Medical Center. The authorized official of this NPI record is Mr. Brian C Sady Pa-c (Physician's Assistant)

NPI
1184676728
Provider Legal Name
SADY MEDICAL ENTERPRISES, INC.
Other Organization Name
SANTA ROSA MEDICAL CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4161 S EASTERN AVE LAS VEGAS, NV 89119
Location Phone
(702) 693-6222
Location Fax
(702) 369-6504
Mailing Address
4161 S EASTERN AVE LAS VEGAS, NV 89119
Mailing Phone
(702) 693-6222
Mailing Fax
(702) 369-6504
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-16-2006
Last Update Date
08-22-2020
Code Navigator

A primary care provider (PCP) like Santa Rosa Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
576
License State
NV

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MR. BRIAN C SADY PA-C

Authorized Official Title
PHYSICIAN'S ASSISTANT
Authorized Official Phone
(702) 693-6222

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
29D1022978
Facility Type
Practitioner Other
Certificate Effective Date
March 04, 2024
Certificate Expiration Date
March 03, 2026
Laboratory Director
SYED I. PERVAIZ
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Santa Rosa Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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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 1184676728, 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 62. The final step is to find the difference between that total and the next multiple of ten (70 - 62 = 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.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
4
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
2
Doubled → 4
Check
8
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 8 → 16 → 7 6 → 12 → 3 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

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

2 + 1 + 1 + 6 + 4 + 1 + 2 + 7 + 1 + 2 + 7 + 4 + 24 = 62

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

The next multiple of ten after 62 is 70. The difference is the calculated check digit.

70 - 62 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1184676728.

Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Pharmacist
4161 S EASTERN AVE, A3
LAS VEGAS, NV 89119
Clinical Medical Laboratory
4161 S EASTERN AVE, SUITE A-6
LAS VEGAS, NV 89119
Pharmacy (Community/Retail Pharmacy)
4161 S EASTERN AVE, A-3
LAS VEGAS, NV 89119
Clinic/Center (Urgent Care)
4161 S EASTERN AVE, SUITE B3
LAS VEGAS, NV 89119
Internal Medicine
4161 S EASTERN AVE, SUITE # B3
LAS VEGAS, NV 89119

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184676728, enumerated as an "organization" on May 16, 2006.

The provider is located at 4161 S EASTERN AVE LAS VEGAS, NV 89119 and the phone number is (702) 693-6222.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.