SANTA ROSA AMBULATORY SURGICAL CENTER MEDICAL GROUP INC (NPI# 1215002852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215002852 |
| Entity Type | Organization |
| Organization Name | SANTA ROSA AMBULATORY SURGICAL CENTER MEDICAL GROUP INC |
| Practice Address |
76 Brookwood Ave Ste B Santa Rosa CA 95404-4312 |
| Practice Telephone | 7075234907 |
| Practice Fax Number | 7075234953 |
| Mailing Telephone | 7075234907 |
| Mailing Fax Number | 7075234953 |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | SOPHIE PAPPAS (CFO) |
| Authorized Official Telephone | 7075234907 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
76 BROOKWOOD AVE STE B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1063646594 | Advanced Surgery Institute, LLC | Clinic/Center | 1739 4th St, Santa Rosa, CA 95404-3601 | 2009-05-12 |
| 1922197987 | Chernoff and Associates Cosmetic Surgeons | Clinic/Center | 830 2nd St, Santa Rosa, CA 95404-4620 | 2006-10-11 |
| 1831200815 | Novamed Surgery Center of Santa Rosa, LLC | Clinic/Center | 1720 4th St, Santa Rosa, CA 95404-3602 | 2006-08-31 |
| 1457317398 | Santa Rosa Surgery Center Lp | Clinic/Center | 34 Mark West Springs Rd Suite 100, Santa Rosa Surgery and Endoscopy Center, Santa Rosa, CA 95403-1436 | 2006-04-20 |
| 1811242563 | Sutter West Bay Medical Foundation | Clinic/Center | 1200 Sonoma Ave, Ste 2, Santa Rosa, CA 95405-6664 | 2012-07-18 |
| 1386966935 | Norcal Specialty Surgery Center, LLC | Clinic/Center | 730 Bennett Valley Rd, Santa Rosa, CA 95404-5514 | 2010-02-24 |
| 1295878874 | The Surgery Suite | Clinic/Center | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2007-02-14 |
| 1538201587 | Plastic Surgery Associates | Clinic/Center | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2007-02-13 |
| 1639220189 | North Bay Medical Group Surgery Center | Clinic/Center | 4415 Sonoma Hwy, Suite B, Santa Rosa, CA 95409-7100 | 2007-01-12 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on SANTA ROSA AMBULATORY SURGICAL CENTER MEDICAL GROUP INC.
| 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.