Organization Active NPI

Consonus Healthcare

  • Physical Disabilities Residential Treatment Facility
  • Santa Rosa, CA
National Provider Identifier
1053782623
Registry record updated Oct 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
License
OTA1007 Issued in CA
Legal business name
CONSONUS HEALTHCARE
Practice address
684 Benicia Dr
Santa Rosa, CA 95409-3058
Phone
(707) 538-0152
NPI assigned
Oct 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2015

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

Authorized official

Name
Ms. Constance Robinson, ASSOCIATES DEGREE
Title
Certified Occupational Therapist
Phone
(707) 228-3085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X OTA1007 CA Primary

Addresses

Primary practice location

684 Benicia Dr
Santa Rosa, CA 95409-3058

Mailing address

2053 Cooper Dr
Santa Rosa, CA 95404-5683
Phone (707) 228-3085

Other identifiers 1

IdentifierTypeStateIssuer
OTA 1007OtherCACA BOARD OF OCCUPATIONAL THERAPY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444262400000",
    "number": "1053782623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2053 COOPER DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045683",
            "telephone_number": "707-228-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 BENICIA DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954093058",
            "telephone_number": "707-538-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSONUS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2015-10-08",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "CERTIFIED OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "707-228-3085",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ASSOCIATES DEGREE"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "OTA1007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "OTA 1007",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 8, 2015; 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.