ANNADEL MEDICAL GROUP
NPI 1740602309
Specialist in Santa Rosa, CA

NPI Status: Active since January 15, 2014

Contact Information

1165 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95405
Phone: (707) 303-8307
Fax: (707) 303-1992

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  • Organization
  • Specialist

About ANNADEL MEDICAL GROUP

This page provides the complete NPI Profile along with additional information for Annadel Medical Group, a provider established in Santa Rosa, California operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1740602309 assigned on January 2014. The practitioner's primary taxonomy code is 174400000X with license number G22056 (CA). The provider is registered as an organization and their NPI record was last updated 12 years ago. Annadel Medical Group 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 Bob Just (Coo)

NPI
1740602309
Provider Name
ANNADEL MEDICAL GROUP
Entity Type
Organization
Location Address
1165 MONTGOMERY DR SANTA ROSA, CA 95405
Location Phone
(707) 303-8307
Location Fax
(707) 303-1992
Mailing Address
1165 MONTGOMERY DR SANTA ROSA, CA 95405
Mailing Phone
(707) 303-8307
Mailing Fax
(707) 303-1992
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-15-2014
Last Update Date
01-15-2014
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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

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
G22056
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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.

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

BOB JUST

Authorized Official Title
COO
Authorized Official Phone
(707) 303-8307

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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 1740602309, we treat the final digit (9) 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 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

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

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 8 + 0 + 1 + 2 + 0 + 4 + 3 + 0 + 24 = 51

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

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1740602309.

Other Providers at the Same Location


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

Registered Nurse
1165 MONTGOMERY DR, SANTA ROSA MEMORIAL HOSPITAL
SANTA ROSA, CA 95405
Pediatrics (Neonatal-Perinatal Medicine)
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Pathology (Anatomic Pathology & Clinical Pathology)
1165 MONTGOMERY DR, PATHOLOGY DEPT
SANTA ROSA, CA 95405
Pathology (Anatomic Pathology & Clinical Pathology)
1165 MONTGOMERY DR, PATHOLOGY DEPT
SANTA ROSA, CA 95405
Pathology (Anatomic Pathology & Clinical Pathology)
1165 MONTGOMERY DR, PATHOLOGY DEPT
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405
Anesthesiology
1165 MONTGOMERY DR
SANTA ROSA, CA 95405

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740602309, enumerated as an "organization" on January 15, 2014.

The provider is located at 1165 MONTGOMERY DR SANTA ROSA, CA 95405 and the phone number is (707) 303-8307.

Specialist with taxonomy code 174400000X.