EVOLVE RESTORATIVE CENTER
NPI 1215437249
Pain Medicine - Interventional Pain Medicine in Santa Rosa, CA
NPI Status: Active since February 16, 2018
Contact Information
220 CONCOURSE BLVD
SANTA ROSA, CA
ZIP 95403
Phone: (844) 527-7369
Fax: (844) 847-4943
- Organization
- Pain Medicine
- Interventional Pain Medicine
- CLIA Number: 05D2172616
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-14-2026
About EVOLVE RESTORATIVE CENTER
This page provides the complete NPI Profile along with additional information for Evolve Restorative Center, a provider established in Santa Rosa, California operating as a Pain Medicine, focusing in interventional pain medicine . The healthcare provider is registered in the NPI registry with number 1215437249 assigned on February 2018. The practitioner's primary taxonomy code is 208VP0014X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Eric Bruntlett (Coo)
- NPI
- 1215437249
- Provider Name
- EVOLVE RESTORATIVE CENTER
- Entity Type
- Organization
- Location Address
- 220 CONCOURSE BLVD SANTA ROSA, CA 95403
- Location Phone
- (844) 527-7369
- Location Fax
- (844) 847-4943
- Mailing Address
- 220 CONCOURSE BLVD SANTA ROSA, CA 95403
- Mailing Phone
- (844) 527-7369
- Mailing Fax
- (844) 847-4943
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-16-2018
- Last Update Date
- 06-12-2025
- Code Navigator
Location Map
Secondary Locations
- 5150 Hill Rd E Ste C
Lakeport, CA 95453
(844) 527-7369 - 181 Andrieux St Ste 107
Sonoma, CA 95476
(844) 527-7369
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
Pain Medicine Interventional Pain Medicine
- Taxonomy Code
- 208VP0014X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
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 | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies |
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
- 05D2172616
- Facility Type
- Physician Office
- Certificate Effective Date
- July 15, 2024
- Certificate Expiration Date
- July 14, 2026
- Laboratory Director
- DR. KIM JANATPOUR
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Evolve Restorative Center on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high 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 1215437249, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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 61 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 10 providers are registered at the same or a nearby location.
SANTA ROSA, CA 95403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215437249, enumerated as an "organization" on February 16, 2018.
The provider is located at 220 CONCOURSE BLVD SANTA ROSA, CA 95403 and the phone number is (844) 527-7369.
Pain Medicine with taxonomy code 208VP0014X and a focus in Interventional Pain Medicine.
