SANTA ROSA COMMUNITY HEALTH CENTER (NPI# 1215485388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215485388 |
| Entity Type | Organization |
| Organization Name | SANTA ROSA COMMUNITY HEALTH CENTER |
| Practice Address |
751 Lombardi Ct Suite B Santa Rosa CA 95407-6798 |
| Practice Telephone | 7075472222 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | DR. LISA WARD (CMO) |
| Authorized Official Telephone | 7075472222 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
NP95004562 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245739697 | Santa Rosa Community Health Center | Clinic/Center | 3883 Airway Dr Ste 202, Santa Rosa, CA 95403-1671 | 2018-02-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SANTA ROSA COMMUNITY HEALTH CENTERS | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 |
| Street Address |
751 LOMBARDI CT SUITE B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-6798 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831163716 | Tara Jeanine Budinger | Psychologist | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2006-02-15 |
| 1982214870 | Roxanne Patricia Schleben | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2020-08-05 |
| 1952932709 | Benjamin Robert Zumwalt | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2020-01-30 |
| 1114569878 | Daisy Ariana Lopez | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2019-10-15 |
| 1912463407 | Krystal Annie Bodily | Family Medicine | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2019-02-20 |
| 1205309580 | Daniel Christopher Lopez | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2019-01-09 |
| 1508334327 | Sharon Sneddon | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2018-11-09 |
| 1801382494 | Michael Bastien Nowak | Registered Nurse | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2018-07-06 |
| 1417458654 | Eleanna Alexia Kennedy | Nurse Practitioner | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2018-02-22 |
| 1336657204 | Lluriana Bailon | Registered Nurse | 751 Lombardi Ct, Santa Rosa, CA 95407-6798 | 2018-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659671600 | Planned Parenthood: Shasta-diablo, Inc. | Clinic/Center | 1140 Sonoma Ave, Santa Rosa, CA 95405-4817 | 2010-10-25 |
| 1275710006 | Chico Feminist Women's Health Center | Clinic/Center | 4415 Sonoma Hwy, Suite D, Santa Rosa, CA 95409-7100 | 2008-01-23 |
| 1598807190 | Community Action Partnership of Sonoma County | Clinic/Center | 962 Sebastopol Rd, Santa Rosa, CA 95407-6829 | 2007-02-12 |
| 1699825067 | County of Sonoma | Clinic/Center | 499 Humboldt St Ste 104, Santa Rosa, CA 95404-4214 | 2007-01-10 |
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| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
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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.