PDI SURGERY CENTER
NPI 1598993198
Clinic/Center - Ambulatory Surgical in Windsor, CA
NPI Status: Active since June 23, 2009
Contact Information
1380 19TH HOLE DR
WINDSOR, CA
ZIP 95492
Phone: (707) 838-6560
Fax: (707) 838-8464
- Organization
- Clinic/Center
- Ambulatory Surgical
- CLIA Number: 05D1072419
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-15-2027
About PDI SURGERY CENTER
This page provides the complete NPI Profile along with additional information for Pdi Surgery Center, a provider established in Windsor, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1598993198 assigned on June 2009. The practitioner's primary taxonomy code is 261QA1903X with license number 550000658 (CA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's is doing business as Pdi Surgery Center. The authorized official of this NPI record is Ms. Julie Belle Tucker Rn (Administrator/director Of Nursing)
- NPI
- 1598993198
- Provider Legal Name
- PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST, INC.
- Other Organization Name
- PDI SURGERY CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1380 19TH HOLE DR WINDSOR, CA 95492
- Location Phone
- (707) 838-6560
- Location Fax
- (707) 838-8464
- Mailing Address
- 1380 19TH HOLE DR WINDSOR, CA 95492
- Mailing Phone
- (707) 838-6560
- Mailing Fax
- (707) 838-8464
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-23-2009
- Last Update Date
- 06-23-2009
- 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
Clinic/Center Ambulatory Surgical
- Taxonomy Code
- 261QA1903X
- Type
- Ambulatory Health Care Facilities
- License No.
- 550000658
- License State
- CA
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
- 05D1072419
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 16, 2025
- Certificate Expiration Date
- August 15, 2027
- Laboratory Director
- KEVIN TOMFOHRDE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Pdi Surgery Center 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 1598993198, we treat the final digit (8) 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 82. The final step is to find the difference between that total and the next multiple of ten (90 - 82 = 8).
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 82 is 90. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
WINDSOR, CA 95492
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598993198, enumerated as an "organization" on June 23, 2009.
The provider is located at 1380 19TH HOLE DR WINDSOR, CA 95492 and the phone number is (707) 838-6560.
Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.
