ROBERT PARK M.D.
NPI 1538356035
Internal Medicine - Nephrology in Petaluma, CA

NPI Status: Active since September 27, 2007

Contact Information

191 LYNCH CREEK WAY
SUITE 205
PETALUMA, CA
ZIP 94954
Phone: (707) 765-1501
Fax: (707) 765-1530

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  • Organization
  • Internal Medicine
  • Nephrology

About ROBERT PARK M.D.

This page provides the complete NPI Profile along with additional information for Robert Park M.d., an internist established in Petaluma, California operating as a Internal Medicine, focusing in nephrology . The healthcare provider is registered in the NPI registry with number 1538356035 assigned on September 2007. The practitioner's primary taxonomy code is 207RN0300X with license number G22984 (CA). The provider is registered as an organization and their NPI record was last updated 19 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 Dr. Robert Park M.d. (Owner)

NPI
1538356035
Provider Name
ROBERT PARK M.D.
Entity Type
Organization
Location Address
191 LYNCH CREEK WAY SUITE 205 PETALUMA, CA 94954
Location Phone
(707) 765-1501
Location Fax
(707) 765-1530
Mailing Address
191 LYNCH CREEK WAY SUITE 205 PETALUMA, CA 94954
Mailing Phone
(707) 765-1501
Mailing Fax
(707) 765-1530
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-27-2007
Last Update Date
10-10-2007
Code Navigator

An internist like Robert Park M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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

Internal Medicine Nephrology

Taxonomy Code
207RN0300X
Type
Allopathic & Osteopathic Physicians
License No.
G22984
License State
CA
Taxonomy Description
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

DR. ROBERT PARK M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(707) 765-1501

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZZ23668ZMEDICARE PIN (08)CA 

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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 1538356035, 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.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
3
Doubled → 6
Pos 4
8
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
0
Unchanged
Pos 9
3
Doubled → 6
Check
5
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 3 → 6 3 → 6 6 → 12 → 3 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 6 + 8 + 6 + 5 + 1 + 2 + 0 + 6 + 24 = 65

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.

70 - 65 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1538356035.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

In Home Supportive Care
191 LYNCH CREEK WAY, SUITE 102
PETALUMA, CA 94954
Pain Medicine (Interventional Pain Medicine)
191 LYNCH CREEK WAY, SUITE 101
PETALUMA, CA 94954
Chiropractor
191 LYNCH CREEK WAY, STE 201
PETALUMA, CA 94954
Chiropractor
191 LYNCH CREEK WAY, #204
PETALUMA, CA 94954

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538356035, enumerated as an "organization" on September 27, 2007.

The provider is located at 191 LYNCH CREEK WAY SUITE 205 PETALUMA, CA 94954 and the phone number is (707) 765-1501.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.