SANTA ROSA COMMUNITY HEALTH CENTERS


Address: 684 Benecia Drive, Santa Rosa, CA 95409-3058
Phone: 7075734565

SANTA ROSA COMMUNITY HEALTH CENTERS (NPI# 1689742215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689742215
Entity Type Organization
Organization Name SANTA ROSA COMMUNITY HEALTH CENTERS
Other Organization Name SOUTHWEST COMMUNITY HEALTH CENTER
Practice Address 684 Benecia Drive
Santa Rosa
CA 95409-3058
Mailing Address 3569 Round Barn Circle
Santa Rosa
CA 95403-5781
Practice Telephone 7075734565
Practice Fax Number 7075766687
Mailing Telephone 7073033600
Mailing Fax Number 7073033635
Enumeration Date 2006-12-01
Last Update Date 2012-05-09
Authorized Official Name MS. NAOMI FUCHS (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 7073033091
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA0600X Clinic/Center
Specialization: Adult Day Care
070000491 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA ADUF0034G 05

Other Provider/Organization Names

Other Name Type Code
Southwest Community Health Center Former Legal Business Name - Organization

Other Provider IDs and Locations

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
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
1255600037 Santa Rosa Community Health Centers Community/Behavioral Health 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 2011-12-22
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

Other Data Sources

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

Office Location

Street Address 684 BENECIA DRIVE
City SANTA ROSA
State CA
Zip Code 95409-3058

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568005205 Angela Tejeda Counselor 35555 Sonoma Hwy, Santa Rosa, CA 95409 2019-10-25
1609335314 Heidi Diebel Marriage & Family Therapist 9291 Oak Trail Cir, Santa Rosa, CA 95409 2019-03-13
1427525328 Christopher William Schouest Behavioral Analyst 5424 Sharon St., Santa Rosa, CA 95409 2018-10-29
1194178756 Ana Ceniceros Registered Nurse 7425 Los Guilucos Rd, Santa Rosa, CA 95409 2016-07-19
1669842878 Kimberly Harris Counselor 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 2015-09-30
1568884849 Christopher Cincotta Counselor 540 Middle Rincon Road, Santa Rosa, CA 95409 2014-01-06
1104186626 Gina Ruth Sarpy Marriage & Family Therapist 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 2012-05-17
1467745950 Courtney King Family Medicine 4702 Starbuck Ave, Santa Rosa, CA 95409 2011-05-17
1427351162 Robert E Richardson Md Professional Corp. Surgery 1812 Happy Valley Road, Santa Rosa, CA 95409 2010-12-20
1497063564 Edmundo Simon Martinez IIi IIi Occupational Therapist 5555 Montgomery Dr., Santa Rosa, CA 95409 2010-09-22
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Taxonomy Information

Taxonomy Code 261QA0600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Day Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487121265 Catholic Charities of The Diocese of Santa Rosa Clinic/Center 987 Airway Ct, Santa Rosa, CA 95403 2018-10-30
1316075518 El#1adultdaycare Clinic/Center 11861 West Hwy 107, Santa Rosa, TX 78593 2007-03-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437757317 Sc Evergreen Health Management Inc. Clinic/Center 8408 Garvey Ave Ste 101, Rosemead, CA 91770-2681 2020-10-13
1881291326 Comfort Care Adult Day Health Care Center Inc. Clinic/Center 3401 Rio Hondo Ave, El Monte, CA 91731-2919 2020-10-07
1972114890 Square Health, LLC Clinic/Center 17057 Foothill Blvd Ste 101, Fontana, CA 92335-3574 2020-08-13
1598375172 Oc Health, Inc. Clinic/Center 319 E Ball Rd, Anaheim, CA 92805-6313 2020-08-07
1023626058 Sk Health LLC Clinic/Center 14619 S Western Ave, Gardena, CA 90249-3305 2020-07-15
1790393718 Angeles Del Sol Adhc, LLC Clinic/Center 820 N Diamond Bar Blvd, Diamond Bar, CA 91765-1039 2020-07-15
1790314201 Bright & Right Adult Day Health Care, Inc. Clinic/Center 261 S Kenmore Ave, Los Angeles, CA 90004-5604 2020-04-06
1952937203 Golden Life Adult Day Care Services, Inc Clinic/Center 15541 Ashley Ave, Westminster, CA 92683-6901 2020-03-19
1326674672 Royal Care Adult Day Health Care, Inc Clinic/Center 7237 E Southgate Dr Ste C, Sacramento, CA 95823-2637 2020-03-19
1780210476 Unique Adult Day Healthcare Inc. Clinic/Center 14127 S Tajauta Ave, Compton, CA 90222-3729 2020-03-13
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Competitor

Search similar providers

City SANTA ROSA
Zip Code 95409

Improve Information

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Dataset Information

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.

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