COMMUNITY MEMORIAL UROLOGY
NPI 1730498411
Clinic/Center in Ventura, CA

NPI Status: Active since September 29, 2010

Contact Information

2705 LOMA VISTA RD
STE 206
VENTURA, CA
ZIP 93003
Phone: (805) 643-4067
Fax: (805) 643-4587

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  • Organization
  • Clinic/Center
  • CLIA Number: 05D0865338
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-31-2026

About COMMUNITY MEMORIAL UROLOGY

This page provides the complete NPI Profile along with additional information for Community Memorial Urology, a provider established in Ventura, California operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1730498411 assigned on September 2010. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Community Memorial Urology. The authorized official of this NPI record is Mick Zdeblick (Ceo)

NPI
1730498411
Provider Legal Name
COMMUNITY MEMORIAL HEALTH SYSTEM
Other Organization Name
COMMUNITY MEMORIAL UROLOGY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2705 LOMA VISTA RD STE 206 VENTURA, CA 93003
Location Phone
(805) 643-4067
Location Fax
(805) 643-4587
Mailing Address
5855 OLIVAS PARK DR VENTURA, CA 93003
Mailing Phone
(805) 667-2801
Mailing Fax
(805) 643-4587
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
09-29-2010
Last Update Date
05-28-2024
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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

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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

MICK ZDEBLICK

Authorized Official Title
CEO
Authorized Official Phone
(805) 652-5011

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
05D0865338
Facility Type
Physician Office
Certificate Effective Date
September 01, 2024
Certificate Expiration Date
August 31, 2026
Laboratory Director
MARC A. BEAGHLER
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Community Memorial Urology in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate 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 1730498411, we treat the final digit (1) 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 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

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
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
4
Unchanged
Pos 9
1
Doubled → 2
Check
1
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 3 → 6 4 → 8 8 → 16 → 7 1 → 2

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 6 + 0 + 8 + 9 + 1 + 6 + 4 + 2 + 24 = 69

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

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1730498411.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2705 LOMA VISTA RD
VENTURA, CA 93003
Urology
2705 LOMA VISTA RD, SUITE 206
VENTURA, CA 93003
Registered Nurse
2705 LOMA VISTA RD, SUITE 205
VENTURA, CA 93003
Clinic/Center (Medical Specialty)
2705 LOMA VISTA RD, STE 205
VENTURA, CA 93003
Urology
2705 LOMA VISTA RD, STE 206
VENTURA, CA 93003
Nurse Practitioner
2705 LOMA VISTA RD, SUITE 206
VENTURA, CA 93003
Emergency Medicine
2705 LOMA VISTA RD, SUITE 205
VENTURA, CA 93003
Emergency Medicine
2705 LOMA VISTA RD
VENTURA, CA 93003
Emergency Medicine
2705 LOMA VISTA RD
VENTURA, CA 93003
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2705 LOMA VISTA RD, STE 101
VENTURA, CA 93003
Internal Medicine (Nephrology)
2705 LOMA VISTA RD, SUITE 101
VENTURA, CA 93003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730498411, enumerated as an "organization" on September 29, 2010.

The provider is located at 2705 LOMA VISTA RD STE 206 VENTURA, CA 93003 and the phone number is (805) 643-4067.

Clinic/Center with taxonomy code 261Q00000X.