NORCAL DERMATOLOGY MEDICAL SURGICAL COSMETIC
NPI 1881839520
Clinic/Center - Medical Specialty in Santa Rosa, CA
NPI Status: Active since December 10, 2008
Contact Information
196 WIKIUP DR
SANTA ROSA, CA
ZIP 95403
Phone: (707) 527-9517
Fax: (707) 527-9913
- Organization
- Clinic/Center
- Medical Specialty
- CLIA Number: 05D2033588
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 07-06-2026
About NORCAL DERMATOLOGY MEDICAL SURGICAL COSMETIC
This page provides the complete NPI Profile along with additional information for Norcal Dermatology Medical Surgical Cosmetic, a provider established in Santa Rosa, California operating as a Clinic/center, focusing in medical specialty . The healthcare provider is registered in the NPI registry with number 1881839520 assigned on December 2008. The practitioner's primary taxonomy code is 261QM2500X with license number A55665 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Norcal Dermatology Medical Surgical Cosmetic. The authorized official of this NPI record is Alicia Brophy Cmom, Cma (Practice Manager)
- NPI
- 1881839520
- Provider Legal Name
- NORCAL SKIN DISEASE AND SURGERY INC
- Other Organization Name
- NORCAL DERMATOLOGY MEDICAL SURGICAL COSMETIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 196 WIKIUP DR SANTA ROSA, CA 95403
- Location Phone
- (707) 527-9517
- Location Fax
- (707) 527-9913
- Mailing Address
- 196 WIKIUP DR SANTA ROSA, CA 95403
- Mailing Phone
- (707) 527-9517
- Mailing Fax
- (707) 527-9913
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-10-2008
- Last Update Date
- 11-22-2022
- Code Navigator
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 Medical Specialty
- Taxonomy Code
- 261QM2500X
- Type
- Ambulatory Health Care Facilities
- License No.
- A55665
- License State
- CA
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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
- 05D2033588
- Facility Type
- Physician Office
- Certificate Effective Date
- July 07, 2024
- Certificate Expiration Date
- July 06, 2026
- Laboratory Director
- DR. KHANH Y. TRUONG MD
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Norcal Dermatology Medical Surgical Cosmetic 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 1881839520, we treat the final digit (0) 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 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
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 70 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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881839520, enumerated as an "organization" on December 10, 2008.
The provider is located at 196 WIKIUP DR SANTA ROSA, CA 95403 and the phone number is (707) 527-9517.
Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.
