SANTA ROSA SURGICAL ASSOCIATES (NPI# 1336216787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336216787 |
| Entity Type | Organization |
| Organization Name | SANTA ROSA SURGICAL ASSOCIATES |
| Practice Address |
3536 Mendocino Ave Suite 250 Santa Rosa CA 95403-3634 |
| Practice Telephone | 7075792100 |
| Practice Fax Number | 7075230616 |
| Mailing Telephone | 7075792100 |
| Mailing Fax Number | 7075230616 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. CAROL WYCKOFF (OFFICE MANAGER) |
| Authorized Official Telephone | 7075792100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Street Address |
3536 MENDOCINO AVE SUITE 250 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-3634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164425914 | Patrick J Caskey | Ophthalmology | 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403-3612 | 2005-05-24 |
| 1134517139 | Emine C. Loxley Dmd, PC | Clinic/Center | 3536 Mendocino Ave, Suite 330, Santa Rosa, CA 95403-3634 | 2014-12-30 |
| 1295152379 | Matthew Armstrong Powers | Student in an Organized Health Care Education/Training Program | 3536 Mendocino Ave, Ste 380, Santa Rosa, CA 95403-3612 | 2014-03-26 |
| 1083954515 | Deborah Ann Magee | Nurse Practitioner | 3536 Mendocino Ave, Suite 200, Santa Rosa, CA 95403-3634 | 2013-02-20 |
| 1407145477 | Nayabei Barretto | Nurse Practitioner | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2011-03-30 |
| 1811128275 | Kimberly Brayton Brayton | Internal Medicine | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2009-08-03 |
| 1144455825 | Vishal Ghanshyam Patel | Internal Medicine | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2009-05-25 |
| 1881844397 | Deborah Wolff-baker | Nurse Practitioner | 3536 Mendocino Ave, Ste 300, Santa Rosa, CA 95403-3634 | 2008-09-22 |
| 1356540272 | Jaime Jeremy Molden | Internal Medicine | 3536 Mendocino Ave, Ste 200, Santa Rosa, CA 95403-3634 | 2007-07-11 |
| 1972704542 | Sutter Medical Foundation | Surgery | 3536 Mendocino Ave, Suite 300, Santa Rosa, CA 95403-3634 | 2007-05-30 |
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558897538 | Maya's Massage Inc. | Specialist | 1955 Dogwood Dr, Santa Rosa, CA 95403-1577 | 2017-05-11 |
| 1972053114 | Peter John Holewinski | Specialist | 170 Farmers Ln Ste 11, Santa Rosa, CA 95405-4750 | 2016-10-12 |
| 1922425123 | Kellie Ann Hislop | Specialist | 320 Tesconi Circle, Suite G, Santa Rosa, CA 95401 | 2014-03-25 |
| 1841460698 | Julie Hindley | Specialist | 6574 Oakmont Drive, Santa Rosa, CA 95409 | 2008-03-07 |
| 1659553436 | David Moll | Specialist | 85 Brookwood Ave, Suite 22, Santa Rosa, CA 95404-4513 | 2007-12-03 |
| 1952591620 | Juliana Margarita Ribar | Specialist | 211 Ridgeway Ave., Santa Rosa, CA 95401 | 2007-07-30 |
| 1831302090 | Chris Everett Kerger | Specialist | 3855 Princeton Dr, Santa Rosa, CA 95405-7061 | 2007-05-07 |
| 1598977498 | Santa Rosa Cardiac Surgery | Specialist | 3536 Mendocino Ave., Suite 250, Santa Rosa, CA 95403 | 2007-05-04 |
| 1417086281 | John Martin Mcavoy | Specialist | 4773 Hoen Ave, Santa Rosa, CA 95405-7862 | 2007-03-05 |
| 1629103205 | David P Suchard IIi | Specialist | 1260 N Dutton Ave Ste 244, Santa Rosa, CA 95401-4672 | 2007-02-22 |
| 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 SURGICAL ASSOCIATES.
| 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.