SANTA ROSA GASTROENTEROLOGY MEDICAL ASSOCIATES (NPI# 1972683654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972683654 |
| Entity Type | Organization |
| Organization Name | SANTA ROSA GASTROENTEROLOGY MEDICAL ASSOCIATES |
| Other Organization Name | SRGMA INC |
| Practice Address |
1210 Sonoma Ave Suite B Santa Rosa CA 95405 |
| Practice Telephone | 7075445093 |
| Practice Fax Number | 7075288444 |
| Mailing Telephone | 7075445093 |
| Mailing Fax Number | 7075288444 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-10-01 |
| Authorized Official Name | ROBERT LOGAN FAUST (MD DIRECTOR) |
| Authorized Official Telephone | 7075445093 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0101070 | 05 |
| Other Name | Type Code |
|---|---|
| SRGMA Inc | Other Name - Individual/Organization |
| Street Address |
1210 SONOMA AVE SUITE B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366426587 | Sumit Kohli | Internal Medicine | 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 | 2005-12-01 |
| 1083250518 | Laura Elizabeth Palmer | Massage Therapist | 1210 Sonoma Ave, Santa Rosa, CA 95405-6648 | 2019-11-19 |
| 1235400318 | Sonoma Ambulatory Anesthesia Group, Inc. | Nurse Anesthetist, Certified Registered | 1210 Sonoma Ave, Ste. B, Santa Rosa, CA 95405-6648 | 2012-01-20 |
| 1487973665 | Holly Anton | Psychologist | 1210 Sonoma Ave, Santa Rosa, CA 95405 | 2010-05-26 |
| 1053449850 | Gastroenterology Medical Associates of Sonoma | Specialist | 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 | 2007-03-01 |
| 1881789436 | Regina Powers | Nurse Practitioner | 1210 Sonoma Ave, Santa Rosa, CA 95405-6648 | 2006-10-03 |
| 1306817903 | Aruna Krishnan Jayaraman | Internal Medicine | 1210 Sonoma Ave, Santa Rosa, CA 95405-6648 | 2006-01-31 |
| 1891766861 | Robert Logan Faust | Internal Medicine | 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770853806 | Jay Michael Gospe | Internal Medicine | 1701 Pamela Dr, Santa Rosa, CA 95404-3140 | 2012-01-05 |
| 1790883080 | Paul T. Kefalides | Internal Medicine | 98 Montgomery Dr, Ste C, Santa Rosa, CA 95404-6615 | 2006-09-20 |
| 1144284290 | Richard Mcguire Auld Jr. | Internal Medicine | 1210 Sonoma Avenue, Suite B, Santa Rosa, CA 95405-6648 | 2006-04-14 |
| 1528037124 | Jeffrey Bruce Rothman | Internal Medicine | 4465 Abbey Ln, Santa Rosa, CA 95401-5617 | 2006-03-16 |
| 1366426587 | Sumit Kohli | Internal Medicine | 1210 Sonoma Ave, Suite B, Santa Rosa, CA 95405 | 2005-12-01 |
| 1023192093 | Scott M. Trahms | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1407930571 | Richard P. Permutt | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1831273804 | Timothy J. Hurley | Internal Medicine | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-10-25 |
| 1780615906 | F. Otis Stephen | Internal Medicine | 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 | 2006-07-05 |
| 1831127885 | Thomas G Morales | Internal Medicine | 500 Doyle Park Dr, Suite G04, Santa Rosa, CA 95405-4558 | 2006-06-29 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
Please comment or provide details below to improve the information on SANTA ROSA GASTROENTEROLOGY MEDICAL 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.