JERRY L. PETTIS MEMORIAL VA MEDICAL CENTER
NPI 1275691594
Special Hospital in Loma Linda, CA

NPI Status: Active since December 06, 2006

Contact Information

11201 BENTON ST
LOMA LINDA, CA
ZIP 92357
Phone: (909) 825-7084

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  • Organization
  • Special Hospital

About JERRY L. PETTIS MEMORIAL VA MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Jerry L. Pettis Memorial Va Medical Center, a provider established in Loma Linda, California operating as a Special Hospital. The healthcare provider is registered in the NPI registry with number 1275691594 assigned on December 2006. The practitioner's primary taxonomy code is 284300000X with license number G03312 (LA). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Dean Stordahl (Medical Center Director)

NPI
1275691594
Provider Name
JERRY L. PETTIS MEMORIAL VA MEDICAL CENTER
Entity Type
Organization
Location Address
11201 BENTON ST LOMA LINDA, CA 92357
Location Phone
(909) 825-7084
Mailing Address
116 N PLYMOUTH WAY SAN BERNARDINO, CA 92408
Mailing Phone
(909) 825-7084
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-06-2006
Last Update Date
08-22-2020
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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

Special Hospital

Taxonomy Code
284300000X
Type
Hospitals
License No.
G03312
License State
LA
Taxonomy Description
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical.

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. DEAN STORDAHL

Authorized Official Title
MEDICAL CENTER DIRECTOR
Authorized Official Phone
(909) 825-7084

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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 1275691594, 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 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
2
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
9
Unchanged
Pos 7
1
Doubled → 2
Pos 8
5
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
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 7 → 14 → 5 6 → 12 → 3 1 → 2 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

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

2 + 2 + 1 + 4 + 5 + 1 + 2 + 9 + 2 + 5 + 1 + 8 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1275691594.

Other Providers at the Same Location


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

Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
Occupational Therapist
11201 BENTON ST
LOMA LINDA, CA 92357
Nurse Practitioner (Psychiatric/Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
Audiologist-Hearing Aid Fitter
11201 BENTON ST
LOMA LINDA, CA 92357
Dentist (Periodontics)
11201 BENTON ST, DENTAL SERVICE 160, LOMA LINDA VAMC
LOMA LINDA, CA 92357
Psychologist
11201 BENTON ST
LOMA LINDA, CA 92357
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
Psychologist
11201 BENTON ST
LOMA LINDA, CA 92357
Pharmacist
11201 BENTON ST, PHARMACY (119)
LOMA LINDA, CA 92357
Dentist
11201 BENTON ST, DENTAL SERVICE (160)
LOMA LINDA, CA 92357
Dentist (Prosthodontics)
11201 BENTON ST, #160
LOMA LINDA, CA 92357
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
Nurse Practitioner (Adult Health)
11201 BENTON ST
LOMA LINDA, CA 92357
Dentist (General Practice)
11201 BENTON ST, DENTAL SERVICE
LOMA LINDA, CA 92357
Radiology (Diagnostic Radiology)
11201 BENTON ST, 605/114
LOMA LINDA, CA 92357
Pharmacist
11201 BENTON ST
LOMA LINDA, CA 92357

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275691594, enumerated as an "organization" on December 06, 2006.

The provider is located at 11201 BENTON ST LOMA LINDA, CA 92357 and the phone number is (909) 825-7084.

Special Hospital with taxonomy code 284300000X.