SANTA ROSA COMMUNITY HEALTH CENTERS (NPI# 1255600037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255600037 |
| Entity Type | Organization |
| Organization Name | SANTA ROSA COMMUNITY HEALTH CENTERS |
| Other Organization Name | SOUTHWEST COMMUNITY HEALTH CENTER |
| Practice Address |
3569 Round Barn Cir Santa Rosa CA 95403-5781 |
| Practice Telephone | 7073033600 |
| Practice Fax Number | 7073033635 |
| Mailing Telephone | 7073033600 |
| Mailing Fax Number | 7073033635 |
| Enumeration Date | 2011-12-22 |
| Last Update Date | 2011-12-22 |
| Authorized Official Name | NAOMI FUCHS (CEO) |
| Authorized Official Telephone | 7073033091 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 110000300 | CA | Agencies |
| Other Name | Type Code |
|---|---|
| Southwest Community Health Center | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962613349 | Santa Rosa Community Health Centers | Clinic/Center | 3569 Round Barn Circle, Santa Rosa, CA 95403-5781 | 2007-05-25 |
| 1871651273 | Santa Rosa Community Health Centers | Clinic/Center | 599 Bellevue Ave, Santa Rosa, CA 95407-7713 | 2006-12-05 |
| 1689742215 | Santa Rosa Community Health Centers | Clinic/Center | 684 Benecia Drive, Santa Rosa, CA 95409-3058 | 2006-12-01 |
| 1780195255 | Santa Rosa Community Health Centers | Clinic/Center | 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 | 2017-10-23 |
| 1518345511 | Santa Rosa Community Health Centers | Clinic/Center | 3333 Chanate Rd, Santa Rosa, CA 95404-1707 | 2015-05-11 |
| 1184909103 | Santa Rosa Community Health Centers | Clinic/Center | 983 Sonoma Ave, Santa Rosa, CA 95404-4818 | 2011-10-21 |
| 1558512624 | Santa Rosa Community Health Centers | Clinic/Center | 711 Stony Point Rd Ste 17, Santa Rosa, CA 95407-6848 | 2008-10-07 |
| 1114120623 | Santa Rosa Community Health Centers | Clinic/Center | 751 Lombardi Court, Santa Rosa, CA 95407-6793 | 2007-06-11 |
| 1578766085 | Santa Rosa Community Health Centers | Clinic/Center | 751 Lombardi Ct Ste B, Santa Rosa, CA 95407-6793 | 2007-06-11 |
| 1487857991 | Santa Rosa Community Health Centers | Clinic/Center | 751 Lombardi Court, Santa Rosa, CA 95407-6793 | 2007-06-11 |
| 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 |
3569 ROUND BARN CIR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-5781 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518945658 | Andrew James Desruisseau | Internal Medicine | 3569 Round Barn Cir, Santa Rosa, CA 95403-1757 | 2006-01-09 |
| 1376003657 | Devin Walsh-felz | Student in an Organized Health Care Education/Training Program | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 | 2019-03-22 |
| 1700345808 | Gabrielle Leah Steinberg | Student in an Organized Health Care Education/Training Program | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 | 2019-03-18 |
| 1932624657 | Kari Anderson-hermann | Nurse Practitioner | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 | 2017-08-03 |
| 1588113856 | Lily Rose Loew | Nurse Practitioner | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 | 2016-09-28 |
| 1093199176 | Nadya Hristeva | Pharmacist | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 | 2015-07-17 |
| 1043691066 | Stephen P Krumland | Family Medicine | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 | 2015-06-16 |
| 1639564560 | Anastasia Coutinho | Student in an Organized Health Care Education/Training Program | 3569 Round Barn Cir, Suite 200, Santa Rosa, CA 95403-5781 | 2015-03-28 |
| 1679962880 | Arielle Faith Marcus Cohen | Registered Nurse | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 | 2015-01-12 |
| 1356758635 | Grace Moore | Nurse Practitioner | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 | 2014-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487908620 | Missing Elements | Community/Behavioral Health | 425 Denton Way, Santa Rosa, CA 95401-4810 | 2012-11-08 |
| 1720306939 | Life Works of Sonoma County | Community/Behavioral Health | 2590 Piner Road, Santa Rosa, CA 95401-4035 | 2010-05-12 |
| 1396063509 | Lifeworks of Sonoma County | Community/Behavioral Health | 2480 Sebastopol Road, Santa Rosa, CA 95407-6728 | 2010-05-12 |
| 1891028445 | Sunny Hills Services | Community/Behavioral Health | 365 Casa Manana Road, Building G, Santa Rosa, CA 95409-6559 | 2009-09-15 |
| 1821254889 | Lifeworks of Sonoma County | Community/Behavioral Health | 1350 Sonoma Avenue, Santa Rosa, CA 95405-6697 | 2008-07-30 |
| 1144431693 | Life Works of Sonoma County | Community/Behavioral Health | 1370 San Miguel Road, Santa Rosa, CA 95403-1986 | 2007-05-25 |
| 1619188166 | Lifeworks of Sonoma County | Community/Behavioral Health | 1235 Mendocino Avenue, Santa Rosa, CA 95401-4386 | 2007-05-25 |
| 1225249931 | Cil/psi Special Services, Inc. | Community/Behavioral Health | 1850 Vallejo St, Santa Rosa, CA 95404-5341 | 2007-05-24 |
| 1740490176 | Cilpsi Special Services | Community/Behavioral Health | 1700 Fulton Rd, Santa Rosa, CA 95403-1815 | 2007-05-23 |
| 1558580944 | Sunny Hills Services | Community/Behavioral Health | 1360 N Dutton Ave Ste 100, Santa Rosa, CA 95401-4668 | 2007-04-24 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on SANTA ROSA COMMUNITY HEALTH CENTERS.
| 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.