SONOMA VALLEY SPECIALTY CLINIC
NPI 1215382973
Surgery in Sonoma, CA

NPI Status: Active since May 02, 2016

Contact Information

270 PERKINS ST
SONOMA, CA
ZIP 95476
Phone: (707) 938-3131
Fax: (707) 938-3678

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  • Organization
  • Surgery
  • CLIA Number: 05D0681362
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 02-12-2027

About SONOMA VALLEY SPECIALTY CLINIC

This page provides the complete NPI Profile along with additional information for Sonoma Valley Specialty Clinic, a provider established in Sonoma, California operating as a Surgery. The healthcare provider is registered in the NPI registry with number 1215382973 assigned on May 2016. The practitioner's primary taxonomy code is 208600000X. The provider is registered as an organization and their NPI record was last updated 2 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 Sonoma Valley Specialty Clinic. The authorized official of this NPI record is John Hennelly (Ceo)

NPI
1215382973
Provider Legal Name
SONOMA VALLEY HEALTH CARE DISTRICT
Other Organization Name
SONOMA VALLEY SPECIALTY CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
270 PERKINS ST SONOMA, CA 95476
Location Phone
(707) 938-3131
Location Fax
(707) 938-3678
Mailing Address
347 ANDRIEUX ST SONOMA, CA 95476
Mailing Phone
(707) 935-5000
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-02-2016
Last Update Date
09-23-2024
Code Navigator

A surgeon like Sonoma Valley Specialty Clinic treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

Location Map

Secondary Locations

  • 347 Andrieux St
    Sonoma, CA 95476
    (707) 935-5000

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

Surgery

Taxonomy Code
208600000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

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)
1282N00000XHospitals

General Acute Care Hospital

110000072 (CA)

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

JOHN HENNELLY

Authorized Official Title
CEO
Authorized Official Phone
(707) 935-5000

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
05D0681362
Facility Type
Physician Office
Certificate Effective Date
February 13, 2025
Certificate Expiration Date
February 12, 2027
Laboratory Director
SUBHASH R. MISHRA, MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Sonoma Valley Specialty Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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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 1215382973, we treat the final digit (3) 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 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

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
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
2
Doubled → 4
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
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 1 → 2 3 → 6 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 2 + 5 + 6 + 8 + 4 + 9 + 1 + 4 + 24 = 67

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

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1215382973.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Non-Pharmacy Dispensing Site
270 PERKINS ST
SONOMA, CA 95476
Psychologist (Clinical)
270 PERKINS ST
SONOMA, CA 95476
Nurse Practitioner (Primary Care)
270 PERKINS ST
SONOMA, CA 95476

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215382973, enumerated as an "organization" on May 02, 2016.

The provider is located at 270 PERKINS ST SONOMA, CA 95476 and the phone number is (707) 938-3131.

Surgery with taxonomy code 208600000X.