SAN RAFAEL MEDICAL CENTER
NPI 1669745337
Family Medicine - Adult Medicine in San Rafael, CA

NPI Status: Active since February 10, 2012

Contact Information

706 D ST
SAN RAFAEL, CA
ZIP 94901
Phone: (415) 256-1980
Fax: (415) 256-1981

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  • Organization
  • Family Medicine
  • Adult Medicine

About SAN RAFAEL MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for San Rafael Medical Center, a primary care provider established in San Rafael, California operating as a Family Medicine, focusing in adult medicine . The healthcare provider is registered in the NPI registry with number 1669745337 assigned on February 2012. The practitioner's primary taxonomy code is 207QA0505X. The provider is registered as an organization and their NPI record was last updated 13 years ago. San Rafael Medical Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is San Rafael Medical Center. The authorized official of this NPI record is Lee Domanico (Ceo)

NPI
1669745337
Provider Legal Name
MARIN HEALTHCARE DISTRICT
Other Organization Name
SAN RAFAEL MEDICAL CENTER
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
706 D ST SAN RAFAEL, CA 94901
Location Phone
(415) 256-1980
Location Fax
(415) 256-1981
Mailing Address
PO BOX 45094 SAN FRANCISCO, CA 94145
Mailing Phone
(415) 464-2090
Mailing Fax
(415) 256-1981
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-10-2012
Last Update Date
10-31-2013
Code Navigator

A primary care provider (PCP) like San Rafael Medical Center 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 Adult Medicine

Taxonomy Code
207QA0505X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.

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.

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

LEE DOMANICO

Authorized Official Title
CEO
Authorized Official Phone
(415) 464-2090

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
CS440AOTHER (01)CAMEDICARE GROUP PTAN

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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 1669745337, we treat the final digit (7) 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 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

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
6
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
4
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
7
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 6 → 12 → 3 7 → 14 → 5 5 → 10 → 1 3 → 6

Step 2: Add all digits plus the NPI constant

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

2 + 6 + 1 + 2 + 9 + 1 + 4 + 4 + 1 + 0 + 3 + 6 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1669745337.

Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Family Medicine
706 D ST, E REGINA WIDMAN MD
SAN RAFAEL, CA 94901
Marriage & Family Therapist
706 D ST
SAN RAFAEL, CA 94901
Acupuncturist
706 D ST
SAN RAFAEL, CA 94901

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669745337, enumerated as an "organization" on February 10, 2012.

The provider is located at 706 D ST SAN RAFAEL, CA 94901 and the phone number is (415) 256-1980.

Family Medicine with taxonomy code 207QA0505X and a focus in Adult Medicine.

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