INTEGRATED DIABETES SOLUTIONS A PROFESSIONAL NURSING CORPORATION (NPI# 1972169480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972169480 |
| Entity Type | Organization |
| Organization Name | INTEGRATED DIABETES SOLUTIONS A PROFESSIONAL NURSING CORPORATION |
| Practice Address |
175 Concourse Blvd Santa Rosa CA 95403-8217 |
| Mailing Address |
8800 Lakewood Dr Unit 1571 Windsor CA 95492-9029 |
| Practice Telephone | 7072849200 |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |
| Authorized Official Name | NAYABEI BARRETTO (OWNER) |
| Authorized Official Telephone | 7077996125 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
175 CONCOURSE BLVD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-8217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447303441 | Frank Ray Wilbur | Chiropractor | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-21 |
| 1922624113 | Andrea Mazzola | Naturopath | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2020-06-23 |
| 1427489277 | Barbara Birsinger | Dietitian, Registered | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2013-12-04 |
| 1912246760 | Pamela Susan Koppel | Social Worker | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2013-02-13 |
| 1073879292 | Dana Shelley Michaels | Naturopath | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2012-04-02 |
| 1316268386 | Charles Robert Pettit Md A Medical Corporation | Otolaryngology | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2010-06-14 |
| 1932395563 | Victoria Georgia Landes | Social Worker | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-09-18 |
| 1548314446 | Robert Bruce Dozor | General Practice | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-22 |
| 1184778094 | Ellen Barnett | General Practice | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-22 |
| 1619021433 | Moses David E Goldberg | Naturopath | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-22 |
| 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 | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336467679 | Sonoma Health Institute PC | Clinic/Center | 1240 Mayacama Club Dr, Santa Rosa, CA 95403-8251 | 2010-05-11 |
| 1114209673 | Sonoma County Indian Health Project | Clinic/Center | 144 Stony Point Rd, Santa Rosa, CA 95401-4122 | 2011-09-12 |
| 1346499415 | Concentra Health Services, Inc. | Clinic/Center | 1221 North Dutton Ave., Santa Rosa, CA 95401 | 2008-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658699 | Perennial Medical Services Inc | Clinic/Center | 810 Manhattan Ave, Hermosa Beach, CA 90254-4150 | 2020-10-27 |
| 1841899085 | Eye Glass Specialists Inc. | Clinic/Center | 213 E Foothill Blvd, Rialto, CA 92376-5159 | 2020-10-20 |
| 1134736705 | Boston Medical Center Inc | Clinic/Center | 960 E Green St Ste 101, Pasadena, CA 91106-2401 | 2020-09-28 |
| 1215541628 | Pacific Care II | Clinic/Center | 1024 Jayhawk Way, Modesto, CA 95358-6714 | 2020-09-02 |
| 1316557358 | Breathe Thermae, Inc. | Clinic/Center | 200 S Cahuilla Rd, Palm Springs, CA 92262-6334 | 2020-08-04 |
| 1497363212 | Joana Anjeh Tala | Clinic/Center | 2951 Hampshire Cir, Corona, CA 92879-6133 | 2020-07-17 |
| 1376160580 | Beyond Practice, Inc. | Clinic/Center | 300 W Ocean Blvd Apt 6114, Long Beach, CA 90802-8029 | 2020-07-03 |
| 1205452315 | Affection Healthcare LLC | Clinic/Center | 1641 North Ripon Road, Ripon, CA 95366 | 2020-06-24 |
| 1467074963 | Onclick Healthcare Incorporated | Clinic/Center | 2625 Townsgate Rd Ste 330, Westlake Village, CA 91361-5749 | 2020-05-07 |
| 1811517832 | D.e. Garrison, D.o., Inc. | Clinic/Center | 3209 Esplanade Ste 120, Chico, CA 95973-0154 | 2020-04-20 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
Please comment or provide details below to improve the information on INTEGRATED DIABETES SOLUTIONS A PROFESSIONAL NURSING CORPORATION.
| 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.