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 18 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 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 1538239215, we treat the final digit (5) 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 65. The final step is to find the difference between that total and the next multiple of ten (70 - 65 = 5).
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 65 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PETALUMA, CA 94952
PETALUMA, CA 94952
PETALUMA, CA 94952
PETALUMA, CA 94952
PETALUMA, CA 94952
PETALUMA, CA 94952
PETALUMA, CA 94952
PETALUMA, CA 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.
