PETALUMA TRACEN USCG PHCY
NPI 1538239215
Military/U.S. Coast Guard Pharmacy in Petaluma, CA
NPI Status: Active since November 09, 2006
Contact Information
599 TOMALES RD
PETALUMA, CA
ZIP 94952
Phone: (707) 765-7294
- Organization
- Military/U.S. Coast Guard Pharmacy
- CLIA Number: 05D0604967
- CLIA Cert. Type: Skilled Nursing Facility/Nursing Facility
- CLIA Exp. Date: 05-16-2026
About PETALUMA TRACEN USCG PHCY
This page provides the complete NPI Profile along with additional information for Petaluma Tracen Uscg Phcy, a provider established in Petaluma, California operating as a Military/u.s. Coast Guard Pharmacy. The healthcare provider is registered in the NPI registry with number 1538239215 assigned on November 2006. The practitioner's primary taxonomy code is 332000000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Hector Morales (Manager Pharmacy Operations Center)
- NPI
- 1538239215
- Provider Name
- PETALUMA TRACEN USCG PHCY
- Entity Type
- Organization
- Location Address
- 599 TOMALES RD PETALUMA, CA 94952
- Location Phone
- (707) 765-7294
- Mailing Address
- 599 TOMALES RD PETALUMA, CA 94952
- Mailing Phone
- (707) 765-7294
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-09-2006
- Last Update Date
- 08-25-2008
- Code Navigator
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
Military/U.S. Coast Guard Pharmacy
- Taxonomy Code
- 332000000X
- Type
- Suppliers
- Taxonomy Description
- A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services.
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
- 05D0604967
- Facility Type
- Skilled Nursing Facility/Nursing Facility
- Certificate Effective Date
- May 17, 2024
- Certificate Expiration Date
- May 16, 2026
- Laboratory Director
- ERAN MATALON MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Petaluma Tracen Uscg Phcy 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 Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 3 | 8 | 2 | 3 | 9 | 2 | 1 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 6 | 8 | 4 | 3 | 18 | 2 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 6 + 8 + 4 + 3 + 1 + 8 + 2 + 2 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1538239215 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
MS. CATHERINE VICTORIA FEELEY
Technician, Other
599 TOMALES RD
HEALTH SERVICES DIVISION
PETALUMA, CA
ZIP 94952
SCOTT JAMES KEPPEL
Technician, Other
599 TOMALES RD
PETALUMA, CA
ZIP 94952
DARRELL E VANCE
Technician, Other
599 TOMALES RD
RALPH R. NIX CLINIC
PETALUMA, CA
ZIP 94952
MISS MARIANNE WHITFIELD RDH
Dental Hygienist
599 TOMALES RD
PETALUMA, CA
ZIP 94952
MRS. ERMA ABRAZADO PAYNE HEALTH SERVICES TECH
Technician, Other
599 TOMALES RD
US COAST GUARD TRACEN PETALUMA
PETALUMA, CA
ZIP 94952
ANNA C BROTHERS
Technician, Other
599 TOMALES RD
MEDICAL CLINIC
PETALUMA, CA
ZIP 94952
JEFFREY RYAN LARSEN HS3
Technician, Other
599 TOMALES RD
PETALUMA, CA
ZIP 94952
COAST GUARD TRAINING CENTER PETALUMA
Clinic/Center
(Military/U.S. Coast Guard Outpatient)
599 TOMALES RD
HEALTH SERVICES DIVISION
PETALUMA, CA
ZIP 94952
ROBERT THEODORE KULBETH HS1
Military Health Care Provider
(Independent Duty Medical Technicians)
599 TOMALES RD
PETALUMA, CA
ZIP 94952
MR. DAVID L SULLIVAN JR.
Technician, Other
599 TOMALES RD
HS A SCHOOL
PETALUMA, CA
ZIP 94952
MR. ROGER ALLEN ELLIOTT
Technician, Other
599 TOMALES RD
BLDG 125 HSA
PETALUMA, CA
ZIP 94952
MR. DEWAYNE ALBERT BECK HSC
Military Health Care Provider
599 TOMALES RD
USCG TRACEN PETALUMA
PETALUMA, CA
ZIP 94952
MR. RAMON LEE MARTINEZ HEALTH SERVICES TECH
Technician, Other
599 TOMALES RD
PETALUMA, CA
ZIP 94952
MR. ROBERT EUGENE ROSE
Technician, Other
599 TOMALES RD
HS A SCHOOL
PETALUMA, CA
ZIP 94952
ELIZABETH BECK
Technician, Other
599 TOMALES RD
JNB RM. 402
PETALUMA, CA
ZIP 94952
GLENN T ROYES HSC
Clinic/Center
(Military/U.S. Coast Guard Outpatient)
599 TOMALES RD
PETALUMA, CA
ZIP 94952
MR. GEORGE S MCCALL MEDIC
Military Health Care Provider
599 TOMALES RD
PETALUMA, CA
ZIP 94952
LARRY HOWARD LEE BOWEN ARRT(R) EMT(B)
Radiologic Technologist
(Radiography)
599 TOMALES RD
HEALTH SERVICES 'A' SCHOOL
PETALUMA, CA
ZIP 94952
MR. DAMON RUSSELL LAWSON JR. HS, IDHS, USCG
Military Health Care Provider
(Independent Duty Corpsman)
599 TOMALES RD
PETALUMA, CA
ZIP 94952
ORLANDO L MAYO
Military Health Care Provider
(Independent Duty Medical Technicians)
599 TOMALES RD
RALPH R. NIX CLINIC
PETALUMA, CA
ZIP 94952
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538239215, enumerated as an "organization" on November 09, 2006.
The provider is located at 599 TOMALES RD PETALUMA, CA 94952 and the phone number is (707) 765-7294.
Military/U.S. Coast Guard Pharmacy with taxonomy code 332000000X.
