SANTA ROSA COMMUNITY HEALTH CENTERS


Address: 1300 N Dutton Ave, Santa Rosa, CA 95401-7112
Phone: 7073033600

SANTA ROSA COMMUNITY HEALTH CENTERS (NPI# 1780195255) 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) 1780195255
Entity Type Organization
Organization Name SANTA ROSA COMMUNITY HEALTH CENTERS
Other Organization Name DUTTON CAMPUS
Practice Address 1300 N Dutton Ave
Santa Rosa
CA 95401-7112
Mailing Address 3569 Round Barn Cir
Santa Rosa
CA 95403-5781
Practice Telephone 7073033600
Mailing Telephone 7073033600
Enumeration Date 2017-10-23
Last Update Date 2018-06-16
Authorized Official Name HAROLD BROCKMAN (CFO)
Authorized Official Telephone 7073033600
Is Organization Subpart Y
Parent Organization Name SANTA ROSA COMMUNITY HEALTH CENTERS

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Dutton Campus Other Name - Individual/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
1689742215 Santa Rosa Community Health Centers Clinic/Center 684 Benecia Drive, Santa Rosa, CA 95409-3058 2006-12-01
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 1300 N DUTTON AVE
City SANTA ROSA
State CA
Zip Code 95401-7112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487649711 Patricia Whooley Kulawiak Family Medicine 1300 N Dutton Ave, Santa Rosa, CA 95401 2005-09-13
1245830223 Alexy Francisco Andrade Nurse Practitioner 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2020-10-28
1558997569 Nicole Fernandes Nurse Practitioner 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2020-03-21
1588207351 Megan Culligan Nurse Practitioner 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2019-10-23
1376185272 Ryan Duval Acupuncturist 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2019-10-11
1386295160 Jordan Michele Petersen Dental Hygienist 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2019-09-24
1871153734 Priscilla Lujan Rodriguez Nurse Practitioner 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2019-06-13
1770148108 Jennifer Nicole Francis Nurse Practitioner 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2019-05-01
1770059750 Brittany English Nurse Practitioner 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2018-10-17
1386129294 Claire Maureen Kugler Nurse Practitioner 1300 N Dutton Ave, Santa Rosa, CA 95401-7112 2018-09-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972148575 Megan Elizabeth Jones In Home Supportive Care 1239 Eardley Ave, Santa Rosa, CA 95401 2019-11-07
1801447230 Patty Macisaac Technician 3221 Oak Farm Lane, Santa Rosa, CA 95401 2019-09-26
1386114981 Victoria Maria Guillory Dental Hygienist 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 2018-11-27
1811470727 Chemarin Eve Boyd Student in an Organized Health Care Education/Training Program 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 2018-09-07
1073008181 Cristavel Camacho Behavioral Analyst 1439 Range Ave, #101, Santa Rosa, CA 95401 2018-06-30
1619479102 Victoria King Behavior Technician 1335 N. Dutton Ave., Santa Rosa, CA 95401 2018-03-01
1114436060 Lacey Lynn Palmer Counselor 341 Irwin Lane, Santa Rosa, CA 95401 2017-09-22
1720530587 Compassionate Homecare Solutions, LLC In Home Supportive Care 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 2016-10-27
1366998981 William Glenn Marriage & Family Therapist 1496 Willowside Road, Santa Rosa, CA 95401 2016-09-01
1790144046 Advocacy Home Nursing, Inc Home Health 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 2016-02-15
Find all providers in zip 95401

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1386960862 Su Clinica Familiar Clinic/Center Hwy 107 and La Feria Avenue, Santa Rosa, TX 78593-0226 2010-04-09
1871651273 Santa Rosa Community Health Centers Clinic/Center 599 Bellevue Ave, Santa Rosa, CA 95407-7713 2006-12-05
1245739697 Santa Rosa Community Health Center Clinic/Center 3883 Airway Dr Ste 202, Santa Rosa, CA 95403-1671 2018-02-12
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
1568665073 Santa Rosa Community Health Centers Clinic/Center 599 Bellevue Ave, Santa Rosa, CA 95407-7713 2007-06-11
Find all providers in SANTA ROSA

Competitor

Search similar providers

City SANTA ROSA
Zip Code 95401

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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