SOUTHERN OREGON GYNECOLOGY LLC
NPI 1861293284
Nurse Practitioner - Obstetrics & Gynecology in Medford, OR
NPI Status: Active since March 21, 2025
Contact Information
1910 E BARNETT RD STE 102
MEDFORD, OR
ZIP 97504
Phone: (541) 500-4747
- Organization
- Nurse Practitioner
- Obstetrics & Gynecology
- Accepts Insurance
- CLIA Number: 38D1016124
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-11-2028
About SOUTHERN OREGON GYNECOLOGY LLC
This page provides the complete NPI Profile along with additional information for Southern Oregon Gynecology Llc, a provider established in Medford, Oregon operating as a Nurse Practitioner, focusing in obstetrics & gynecology . The healthcare provider is registered in the NPI registry with number 1861293284 assigned on March 2025. The practitioner's primary taxonomy code is 363LX0001X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Loretta Sandoval Np, Cnm (Provider, Owner)
- NPI
- 1861293284
- Provider Name
- SOUTHERN OREGON GYNECOLOGY LLC
- Entity Type
- Organization
- Location Address
- 1910 E BARNETT RD STE 102 MEDFORD, OR 97504
- Location Phone
- (541) 500-4747
- Mailing Address
- 1910 E BARNETT RD STE 102 MEDFORD, OR 97504
- Mailing Phone
- (541) 500-4747
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-21-2025
- Last Update Date
- 03-21-2025
- Code Navigator
A nurse practitioner (NP) like Southern Oregon Gynecology Llc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, 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
Nurse Practitioner Obstetrics & Gynecology
- Taxonomy Code
- 363LX0001X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BridgeSpan Standard Bronze Plan - EPO
- BridgeSpan Standard Gold Plan - EPO
- BridgeSpan Standard Silver Plan - EPO
- Moda Health Affinity Bronze 8000 - EPO
- Moda Health Affinity Bronze 9000 - EPO
- Moda Health Affinity Bronze HDHP 7500 - EPO
- Moda Health Affinity Gold 1000 - EPO
- Moda Health Affinity Gold 1500 - EPO
- Moda Health Affinity Gold 250 - EPO
- Moda Health Affinity Silver 3000 - EPO
- Moda Health Affinity Silver 3400 - EPO
- Moda Health Affinity Silver 4500 - EPO
- Moda Health Affinity Silver 6000 - EPO
- Moda Health Oregon Standard Bronze Affinity - EPO
- Moda Health Oregon Standard Gold Affinity - EPO
- Moda Health Oregon Standard Silver Affinity - EPO
- Bronze 8000 Individual Connect - EPO
- Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect - EPO
- Bronze HSA 7000 Individual Connect - EPO
- Gold 2300 Individual Connect - EPO
- Regence Standard Bronze Plan Individual Connect - EPO
- Regence Standard Gold Plan Individual Connect - EPO
- Regence Standard Silver Plan Individual Connect - EPO
- Silver 6500 Individual Connect - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
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
- 38D1016124
- Facility Type
- Physician Office
- Certificate Effective Date
- March 12, 2026
- Certificate Expiration Date
- March 11, 2028
- Laboratory Director
- LORETTA SANDOVALL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Southern Oregon Gynecology Llc 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 1861293284, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
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 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
MEDFORD, OR 97504
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861293284, enumerated as an "organization" on March 21, 2025.
The provider is located at 1910 E BARNETT RD STE 102 MEDFORD, OR 97504 and the phone number is (541) 500-4747.
Nurse Practitioner with taxonomy code 363LX0001X and a focus in Obstetrics & Gynecology.
The provider might be accepting Accepts: BridgeSpan Health Company, Moda Health Plan, Inc.. Please consult your insurance carrier or call the provider to verify.
