CUSTOM MEDICAL SERVICES
NPI 1669452298
Family Medicine - Adolescent Medicine in Roosevelt, UT
NPI Status: Active since January 19, 2006
Contact Information
RR 3 BOX 3053
ROOSEVELT, UT
ZIP 84066
Phone: (435) 722-7704
- Organization
- Family Medicine
- Adolescent Medicine
About CUSTOM MEDICAL SERVICES
This page provides the complete NPI Profile along with additional information for Custom Medical Services, a primary care provider established in Roosevelt, Utah operating as a Family Medicine, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1669452298 assigned on January 2006. The practitioner's primary taxonomy code is 207QA0000X. The provider is registered as an organization and their NPI record was last updated one year ago. Custom Medical Services operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Steve Edwin Pehrson M.d. (President)
- NPI
- 1669452298
- Provider Name
- CUSTOM MEDICAL SERVICES
- Entity Type
- Organization
- Location Address
- RR 3 BOX 3053 ROOSEVELT, UT 84066
- Location Phone
- (435) 722-7704
- Mailing Address
- RR 3 BOX 3053 ROOSEVELT, UT 84066
- Mailing Phone
- (435) 722-7704
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-19-2006
- Last Update Date
- 09-11-2025
- Code Navigator
A primary care provider (PCP) like Custom Medical Services sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine Adolescent Medicine
- Taxonomy Code
- 207QA0000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 173000000X | Other Service Providers | Legal Medicine | V09531 (UT) |
| 2 | 207QA0505X | Allopathic & Osteopathic Physicians | Family Medicine | V09531 (UT) |
| 3 | 207QG0300X | Allopathic & Osteopathic Physicians | Family Medicine |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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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 1669452298, 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 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 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 72 is 80. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669452298, enumerated as an "organization" on January 19, 2006.
The provider is located at RR 3 BOX 3053 ROOSEVELT, UT 84066 and the phone number is (435) 722-7704.
Family Medicine with taxonomy code 207QA0000X and a focus in Adolescent Medicine.
