SONOMA STATE UNIVERSITY
NPI 1699838763
Clinic/Center - Student Health in Rohnert Park, CA
NPI Status: Active since December 19, 2006
Contact Information
1801 E COTATI AVE
STUDENT HEALTH CENTER
ROHNERT PARK, CA
ZIP 94928
Phone: (707) 664-2921
Fax: (707) 664-2925
- Organization
- Clinic/Center
- Student Health
- CLIA Number: 05D0703841
- CLIA Cert. Type: School/Student Health Service
- CLIA Exp. Date: 05-04-2028
About SONOMA STATE UNIVERSITY
This page provides the complete NPI Profile along with additional information for Sonoma State University, a primary care provider established in Rohnert Park, California operating as a Clinic/center, focusing in student health . The healthcare provider is registered in the NPI registry with number 1699838763 assigned on December 2006. The practitioner's primary taxonomy code is 261QS1000X with license number PHE 19589 (CA). The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Sonoma State University. The authorized official of this NPI record is Mr. Irvin William Whitaker R.ph. (Pharmacist In Charge)
- NPI
- 1699838763
- Provider Legal Name
- STUDENT HEALTH CTR PHARMACY
- Other Organization Name
- SONOMA STATE UNIVERSITY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1801 E COTATI AVE STUDENT HEALTH CENTER ROHNERT PARK, CA 94928
- Location Phone
- (707) 664-2921
- Location Fax
- (707) 664-2925
- Mailing Address
- 1801 E. COTATI AVE STUDENT HEALTH CENTER ROHNERT PARK, CA 94928
- Mailing Phone
- (707) 664-2921
- Mailing Fax
- (707) 664-2925
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-19-2006
- Last Update Date
- 03-07-2023
- Code Navigator
A primary care provider (PCP) like Sonoma State University 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
Clinic/Center Student Health
- Taxonomy Code
- 261QS1000X
- Type
- Ambulatory Health Care Facilities
- License No.
- PHE 19589
- License State
- CA
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 | 261QH0100X | Ambulatory Health Care Facilities | Clinic/Center | PHE19589 (CA) |
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.
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 |
|---|---|---|---|
| PHE 19589 | OTHER (01) | CA | RETAIL PHARMACY LICENSE |
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
- 05D0703841
- Facility Type
- School/Student Health Service
- Certificate Effective Date
- May 05, 2026
- Certificate Expiration Date
- May 04, 2028
- Laboratory Director
- TIMOTHY W. KACZMAR
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Sonoma State University after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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 1699838763, we treat the final digit (3) 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 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).
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 77 is 80. 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.
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
ROHNERT PARK, CA 94928
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699838763, enumerated as an "organization" on December 19, 2006.
The provider is located at 1801 E COTATI AVE STUDENT HEALTH CENTER ROHNERT PARK, CA 94928 and the phone number is (707) 664-2921.
Clinic/Center with taxonomy code 261QS1000X and a focus in Student Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
