SONOMA COUNTY INDIAN HEALTH PROJECT INC. (NPI# 1013298017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013298017 |
| Entity Type | Organization |
| Organization Name | SONOMA COUNTY INDIAN HEALTH PROJECT INC. |
| Practice Address |
144 Stony Point Rd Santa Rosa CA 95401-4122 |
| Practice Telephone | 7075214545 |
| Mailing Telephone | 7075214545 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |
| Authorized Official Name | MR. MOLIN MOLICAY (CORPORATE EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7075214545 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
15758 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124305495 | Sonoma County Indian Health Project Inc. | Clinic/Center | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2011-11-14 |
| Street Address |
144 STONY POINT RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95401-4122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518965771 | Jennifer L Betts | Family Medicine | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2005-07-12 |
| 1013478569 | Shaye Larie | Nurse Practitioner | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2019-03-27 |
| 1750853206 | Wendy Lippard | Dietitian, Registered | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2018-12-21 |
| 1083102560 | Mark Voorhees Darlington | Pharmacist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2018-04-30 |
| 1952851016 | Chandra Matthews | Dietitian, Registered | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2016-10-12 |
| 1053860221 | Timothy Samuel Tong | Pharmacist | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2016-09-28 |
| 1982152518 | Ana Quiroz | Counselor | 144 Stony Point Rd, Santa Rosa, CA 95401 | 2016-09-12 |
| 1710330311 | Suzanne Yeomans | Social Worker | 144 Stony Point Rd, Santa Rosa, CA 95401 | 2016-07-19 |
| 1124408984 | Gloria Felling | Registered Nurse | 144 Stony Point Rd, 144 Stony Point Road, Santa Rosa, CA 95401-4122 | 2015-06-05 |
| 1639558174 | Trenae Hanaya | Registered Nurse | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2015-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
| 1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
| 1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
| 1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
| 1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
| 1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
| 1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
| 1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
| 1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
| 1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
| Find all providers in zip 95401 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120442 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 107 - 108, Santa Rosa, CA 95407-5421 | 2018-07-12 |
| 1356854673 | Sonoma Therapy Network | Clinic/Center | 3438 Mendocino Ave Ste B, Santa Rosa, CA 95403-2275 | 2017-11-08 |
| 1487863866 | County of Sonoma | Clinic/Center | 2227 Capricorn Way, Santa Rosa, CA 95407-5478 | 2007-05-22 |
| 1255547600 | Department of Health Services | Clinic/Center | 415 Humboldt St, Santa Rosa, CA 95404-4214 | 2007-05-15 |
| 1457567802 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 101, Santa Rosa, CA 95407-5421 | 2007-05-15 |
| 1306050828 | County of Sonoma | Clinic/Center | 112 Childrens Cir, Santa Rosa, CA 95409-6558 | 2007-05-10 |
| 1407068992 | Department of Health Services | Clinic/Center | 617 W 9th St, Santa Rosa, CA 95401-5438 | 2007-05-04 |
| 1639207103 | Department of Health Services | Clinic/Center | 3400 Chanate Rd, Santa Rosa, CA 95404-1710 | 2007-02-28 |
| 1285120493 | County of Sonoma | Clinic/Center | 2245 Challenger Way Ste 100, Santa Rosa, CA 95407-5418 | 2018-07-11 |
| 1386130599 | County of Sonoma | Clinic/Center | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2018-07-11 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95401 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.