PROVIDENCE MEDICAL FOUNDATION
NPI 1205131950
Obstetrics & Gynecology in Napa, CA

NPI Status: Active since January 11, 2011

Contact Information

1100 TRANCAS ST
SUITE 209
NAPA, CA
ZIP 94558
Phone: (707) 251-1850
Fax: (707) 226-1502

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  • Organization
  • Obstetrics & Gynecology
  • CLIA Number: 05D2313157
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-24-2026

About PROVIDENCE MEDICAL FOUNDATION

This page provides the complete NPI Profile along with additional information for Providence Medical Foundation, a women's health care provider established in Napa, California operating as a Obstetrics & Gynecology. The healthcare provider is registered in the NPI registry with number 1205131950 assigned on January 2011. The practitioner's primary taxonomy code is 207V00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's . The authorized official of this NPI record is Donald W. Anderson Jr. (Assistant Secretary Of Enrollments)

NPI
1205131950
Provider Legal Name
PROVIDENCE MEDICAL FOUNDATION
Other Organization Name
Other Name Type
(6)
Entity Type
Organization
Location Address
1100 TRANCAS ST SUITE 209 NAPA, CA 94558
Location Phone
(707) 251-1850
Location Fax
(707) 226-1502
Mailing Address
PO BOX 31001 - 1920 PASADENA, CA 91110
Mailing Phone
(714) 449-4800
Mailing Fax
(707) 226-1502
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-11-2011
Last Update Date
12-03-2025
Code Navigator

Women's health care providers like Providence Medical Foundation treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, 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

Obstetrics & Gynecology

Taxonomy Code
207V00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

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)
1332B00000XSuppliers

Durable Medical Equipment & Medical Supplies

 

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

DONALD W. ANDERSON JR.

Authorized Official Title
ASSISTANT SECRETARY OF ENROLLMENTS
Authorized Official Phone
(425) 358-9786

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
05D2313157
Facility Type
Physician Office
Certificate Effective Date
October 25, 2024
Certificate Expiration Date
October 24, 2026
Laboratory Director
ELSE JENSEN
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Providence Medical Foundation 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 1205131950, 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 50. The final step is to find the difference between that total and the next multiple of ten (50 - 50 = 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.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
0
Doubled → 0
Pos 4
5
Unchanged
Pos 5
1
Doubled → 2
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
0
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 0 → 0 1 → 2 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 + 2 + 0 + 5 + 2 + 3 + 2 + 9 + 1 + 0 + 24 = 50

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

The next multiple of ten after 50 is 50. The difference is the calculated check digit.

50 - 50 = 0
This NPI is valid
The calculated check digit is 0, which matches the last digit of 1205131950.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Specialist
1100 TRANCAS ST, SUITE 213
NAPA, CA 94558
Urology
1100 TRANCAS ST, SUITE 213
NAPA, CA 94558
Obstetrics & Gynecology (Gynecology)
1100 TRANCAS ST, SUITE 209
NAPA, CA 94558
Counselor (Mental Health)
1100 TRANCAS ST
NAPA, CA 94558
Advanced Practice Midwife
1100 TRANCAS ST, SUITE 250
NAPA, CA 94558
Specialist
1100 TRANCAS ST, SUITE 270
NAPA, CA 94558
Family Medicine
1100 TRANCAS ST, SUITE 212
NAPA, CA 94558
Emergency Medicine
1100 TRANCAS ST, SUITE 300
NAPA, CA 94558
Orthopaedic Surgery
1100 TRANCAS ST, SUITE 211
NAPA, CA 94558
Internal Medicine (Hematology & Oncology)
1100 TRANCAS ST, SUITE 256
NAPA, CA 94558
Audiologist-Hearing Aid Fitter
1100 TRANCAS ST, SUITE 210
NAPA, CA 94558
Nurse Practitioner (Family)
1100 TRANCAS ST, STE 300
NAPA, CA 94558
Preventive Medicine (Occupational Medicine)
1100 TRANCAS ST, SUITE 300
NAPA, CA 94558
Nurse Practitioner (Family)
1100 TRANCAS ST, SUITE 300
NAPA, CA 94558
Specialist
1100 TRANCAS ST, SUITE 270
NAPA, CA 94558
Midwife
1100 TRANCAS ST, #351
NAPA, CA 94558
Family Medicine
1100 TRANCAS ST, SUITE 240
NAPA, CA 94558
Clinical Nurse Specialist (Pediatrics)
1100 TRANCAS ST, SUITE 270
NAPA, CA 94558
Clinical Nurse Specialist (Pediatrics)
1100 TRANCAS ST, SUITE 270
NAPA, CA 94558
Otolaryngology
1100 TRANCAS ST, SUITE 210
NAPA, CA 94558

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205131950, enumerated as an "organization" on January 11, 2011.

The provider is located at 1100 TRANCAS ST SUITE 209 NAPA, CA 94558 and the phone number is (707) 251-1850.

Obstetrics & Gynecology with taxonomy code 207V00000X.