ENTEGRATIVE OTOLARYNGOLOGY PC
NPI 1417294174
Otolaryngology - Otolaryngology/Facial Plastic Surgery in Santa Rosa, CA

NPI Status: Active since January 14, 2013

Contact Information

1144 SONOMA AVE STE 101
SANTA ROSA, CA
ZIP 95405
Phone: (707) 775-0775

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  • Organization
  • Otolaryngology
  • Otolaryngology/Facial Plastic Surgery

About ENTEGRATIVE OTOLARYNGOLOGY PC

This page provides the complete NPI Profile along with additional information for Entegrative Otolaryngology Pc, a provider established in Santa Rosa, California operating as a Otolaryngology, focusing in otolaryngology/facial plastic surgery . The healthcare provider is registered in the NPI registry with number 1417294174 assigned on January 2013. The practitioner's primary taxonomy code is 207YX0905X with license number C3527438 (CA). The provider is registered as an organization and their NPI record was last updated 13 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 authorized official of this NPI record is Larry Kyle Gambrell D.o. (Director/ceo)

NPI
1417294174
Provider Name
ENTEGRATIVE OTOLARYNGOLOGY PC
Entity Type
Organization
Location Address
1144 SONOMA AVE STE 101 SANTA ROSA, CA 95405
Location Phone
(707) 775-0775
Mailing Address
1144 SONOMA AVE STE 101 SANTA ROSA, CA 95405
Mailing Phone
(707) 775-0775
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-14-2013
Last Update Date
01-14-2013
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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

Otolaryngology Otolaryngology/Facial Plastic Surgery

Taxonomy Code
207YX0905X
Type
Allopathic & Osteopathic Physicians
License No.
C3527438
License State
CA
Taxonomy Description
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

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

LARRY KYLE GAMBRELL D.O.

Authorized Official Title
DIRECTOR/CEO
Authorized Official Phone
(267) 456-4848

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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 1417294174, 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
4
Unchanged
Pos 3
1
Doubled → 2
Pos 4
7
Unchanged
Pos 5
2
Doubled → 4
Pos 6
9
Unchanged
Pos 7
4
Doubled → 8
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
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 1 → 2 2 → 4 4 → 8 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 2 + 7 + 4 + 9 + 8 + 1 + 1 + 4 + 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 1417294174.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417294174, enumerated as an "organization" on January 14, 2013.

The provider is located at 1144 SONOMA AVE STE 101 SANTA ROSA, CA 95405 and the phone number is (707) 775-0775.

Otolaryngology with taxonomy code 207YX0905X and a focus in Otolaryngology/Facial Plastic Surgery.