COAST GUARD TRAINING CENTER PETALUMA
NPI 1710041058
Clinic/Center - Military/U.S. Coast Guard Outpatient in Petaluma, CA

NPI Status: Active since December 21, 2006

Contact Information

599 TOMALES RD
HEALTH SERVICES DIVISION
PETALUMA, CA
ZIP 94952
Phone: (707) 765-7200
Fax: (707) 765-7521

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  • Organization
  • Clinic/Center
  • Military/U.S. Coast Guard Outpatient

About COAST GUARD TRAINING CENTER PETALUMA

This page provides the complete NPI Profile along with additional information for Coast Guard Training Center Petaluma, a provider established in Petaluma, California operating as a Clinic/center, focusing in military/u.s. coast guard outpatient . The healthcare provider is registered in the NPI registry with number 1710041058 assigned on December 2006. The practitioner's primary taxonomy code is 261QM1100X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Mr. Gerry Rodriguez (Clinic Administrator)

NPI
1710041058
Provider Name
COAST GUARD TRAINING CENTER PETALUMA
Entity Type
Organization
Location Address
599 TOMALES RD HEALTH SERVICES DIVISION PETALUMA, CA 94952
Location Phone
(707) 765-7200
Location Fax
(707) 765-7521
Mailing Address
599 TOMALES RD HEALTH SERVICES DIVISION PETALUMA, CA 94952
Mailing Phone
(707) 765-7200
Mailing Fax
(707) 765-7521
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-21-2006
Last Update Date
05-07-2009
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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 Military/U.S. Coast Guard Outpatient

Taxonomy Code
261QM1100X
Type
Ambulatory Health Care Facilities
License State
CA
Taxonomy Description
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.

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

MR. GERRY RODRIGUEZ

Authorized Official Title
CLINIC ADMINISTRATOR
Authorized Official Phone
(707) 765-7200

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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 1710041058, 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 42. The final step is to find the difference between that total and the next multiple of ten (50 - 42 = 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.

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 2 + 0 + 0 + 4 + 2 + 0 + 1 + 0 + 24 = 42

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

The next multiple of ten after 42 is 50. The difference is the calculated check digit.

50 - 42 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1710041058.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Technician, Other
599 TOMALES RD, HEALTH SERVICES DIVISION
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, RALPH R. NIX CLINIC
PETALUMA, CA 94952
Dental Hygienist
599 TOMALES RD
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, US COAST GUARD TRACEN PETALUMA
PETALUMA, CA 94952
Military/U.S. Coast Guard Pharmacy
599 TOMALES RD
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, MEDICAL CLINIC
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD
PETALUMA, CA 94952
Military Health Care Provider (Independent Duty Medical Technicians)
599 TOMALES RD
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, HS A SCHOOL
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, BLDG 125 HSA
PETALUMA, CA 94952
Military Health Care Provider
599 TOMALES RD, USCG TRACEN PETALUMA
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, HS A SCHOOL
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, JNB RM. 402
PETALUMA, CA 94952
Clinic/Center (Military/U.S. Coast Guard Outpatient)
599 TOMALES RD
PETALUMA, CA 94952
Military Health Care Provider
599 TOMALES RD
PETALUMA, CA 94952
Radiologic Technologist (Radiography)
599 TOMALES RD, HEALTH SERVICES 'A' SCHOOL
PETALUMA, CA 94952
Military Health Care Provider (Independent Duty Medical Technicians)
599 TOMALES RD, RALPH R. NIX CLINIC
PETALUMA, CA 94952
Technician, Other
599 TOMALES RD, 599 TOMALES RD
PETALUMA, CA 94952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710041058, enumerated as an "organization" on December 21, 2006.

The provider is located at 599 TOMALES RD HEALTH SERVICES DIVISION PETALUMA, CA 94952 and the phone number is (707) 765-7200.

Clinic/Center with taxonomy code 261QM1100X and a focus in Military/U.S. Coast Guard Outpatient.