SONOMA VALLEY COMMUNITY HEALTH CENTER (NPI# 1407157605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407157605 |
| Entity Type | Organization |
| Organization Name | SONOMA VALLEY COMMUNITY HEALTH CENTER |
| Practice Address |
19270 Sonoma Highway 12 Sonoma CA 95476-5414 |
| Practice Telephone | 7079396070 |
| Practice Fax Number | 7079396077 |
| Mailing Telephone | 7079396070 |
| Mailing Fax Number | 7079398010 |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2014-07-03 |
| Authorized Official Name | CHERYL K JOHNSON (CEO) |
| Authorized Official Telephone | 7079396070 |
| Is Organization Subpart | Y |
| Parent Organization Name | SONOMA VALLEY COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
110000251 | CA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508035650 | Sonoma Valley Community Health Center | Clinic/Center | 430 W Napa St Ste F, Sonoma, CA 95476-6545 | 2008-02-22 |
| 1093854036 | Sonoma Valley Community Health Center | Clinic/Center | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2007-02-06 |
| 1427118942 | Sonoma Valley Community Health Center | Clinic/Center | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2006-12-12 |
| 1770669715 | Sonoma Valley Community Health Center | Clinic/Center | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2006-10-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SONOMA VALLEY COMMUNITY HEALTH CENTER | 19270 Highway 12, Sonoma, CA 95476-5414 |
| Street Address |
19270 SONOMA HIGHWAY 12 |
| City | SONOMA |
| State | CA |
| Zip Code | 95476-5414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093760092 | Ralph Steven Pulverman | Family Medicine | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2006-05-24 |
| 1033651518 | Silvia Karina Zepeda-molina | Dental Hygienist | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2016-11-15 |
| 1548702533 | Myrna Lillia Granados Johnson | Dental Hygienist | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2016-11-08 |
| 1477832996 | Sara Elizabeth Stratton | Physician Assistant | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2011-08-15 |
| 1093854036 | Sonoma Valley Community Health Center | Clinic/Center | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2007-02-06 |
| 1427118942 | Sonoma Valley Community Health Center | Clinic/Center | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2006-12-12 |
| 1770669715 | Sonoma Valley Community Health Center | Clinic/Center | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790325694 | Pacific Forensic Psychology Associates, Inc | Psychologist | 19230 Sonoma Highway, Building 200, Sonoma, CA 95476 | 2020-01-09 |
| 1003315169 | Kevin Mccarthy | Occupational Therapist | 19312 Sonoma Hwy, Ste B Sonoma, Sonoma, CA 95476 | 2018-02-05 |
| 1558895318 | Christy Murphy | Pharmacist | 19205 Sonoma Hwy, Sonoma, CA 95476 | 2017-04-18 |
| 1003355835 | Eric Wilson Garcia | Physical Therapist | 1331 Medical Center Dr, Rohnert Park, CA 95476 | 2017-02-13 |
| 1952759664 | Imgrx Sonoma Inc | Pharmacy | 19270 Sonoma Hwy, Suite A, Sonoma, CA 95476 | 2016-06-03 |
| 1790039121 | Joslyn Metzger | Social Worker | 10270 Sonoma Highway, Sonoma, CA 95476 | 2012-11-07 |
| 1477853182 | Marcy Swiatek Brandner | Counselor | 19343 Sonoma Highway, Sonoma, CA 95476 | 2010-10-27 |
| 1477784890 | Peter G. Meyerhof | Dentist | 684 W. Napa St., Sonoma, CA 95476 | 2009-08-03 |
| 1467692855 | Rebeca Fiske Bailey | Psychologist | 793 First St West, Sonoma, CA 95476 | 2009-02-25 |
| 1306099056 | Hubenette Dental Corporation | Dentist | 660 Third Street West, Sonoma, CA 95476 | 2008-10-28 |
| Find all providers in zip 95476 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508035650 | Sonoma Valley Community Health Center | Clinic/Center | 430 W Napa St Ste F, Sonoma, CA 95476-6545 | 2008-02-22 |
| 1093854036 | Sonoma Valley Community Health Center | Clinic/Center | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2007-02-06 |
| 1427118942 | Sonoma Valley Community Health Center | Clinic/Center | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2006-12-12 |
| 1770669715 | Sonoma Valley Community Health Center | Clinic/Center | 19270 Sonoma Highway 12, Sonoma, CA 95476-5414 | 2006-10-31 |
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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.