NPIMap

Organization Active NPI

Department of Health Services

  • Preferred Provider Organization
  • Santa Rosa, CA
National Provider Identifier
1023227402
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
DEPARTMENT OF HEALTH SERVICES
Practice address
1450 Neotomas Ave Ste 200
Santa Rosa, CA 95405-7574
Phone
(707) 565-4850
NPI assigned
May 22, 2007
Last updated
May 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SONOMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ruby Zhang
Title
Department Analyst
Phone
(707) 565-7846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X Primary

Addresses

Primary practice location

1450 Neotomas Ave Ste 200
Santa Rosa, CA 95405-7574

Mailing address

1450 Neotomas Ave Ste 200
Santa Rosa, CA 95405-7574
Phone (707) 565-4850

Other identifiers 1

IdentifierTypeStateIssuer
4983OtherCAFFS RN PROVIDER NUMBER

Other names 1

  • Fee for Service - RN Specialty Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Hospital of61 organizations share this tax ID, including this one
Part of
Community Hospital of

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1023227402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NEOTOMAS AVE STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057574",
            "telephone_number": "707-565-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NEOTOMAS AVE STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057574",
            "telephone_number": "707-565-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SONOMA",
        "enumeration_date": "2007-05-22",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "DEPARTMENT ANALYST",
        "authorized_official_telephone_number": "707-565-7846"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FFS RN PROVIDER NUMBER",
            "identifier": "4983",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fee for Service - RN Specialty",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Fee for Service - RN Specialty",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.