NPIMap

Organization Active NPI

Sonoma County Junior College District

  • Student Health Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1063728145
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
SONOMA COUNTY JUNIOR COLLEGE DISTRICT
Practice address
1501 Mendocino Ave
Santa Rosa, CA 95401-4395
Phone
(707) 527-4445
Fax
(707) 524-1858
NPI assigned
Aug 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Authorized official

Name
Kate Jolley
Title
VP Administration and Finance
Phone
(707) 527-4413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

1501 Mendocino Ave
Santa Rosa, CA 95401-4395

Mailing address

1501 Mendocino Ave
Santa Rosa, CA 95401-4395
Phone (707) 527-4445

National Provider Directory

National Provider Directory

Locations

1501 Mendocino Ave
Rm 4017
Santa Rosa, CA 95401

1501 Mendocino Ave
Santa Rosa, CA 95401
Phone (707) 527-4445

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1063728145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MENDOCINO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014395",
            "telephone_number": "707-527-4445",
            "fax_number": "707-524-1858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MENDOCINO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014395",
            "telephone_number": "707-527-4445",
            "fax_number": "707-524-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA COUNTY JUNIOR COLLEGE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "JOLLEY",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "VP ADMINISTRATION AND FINANCE",
        "authorized_official_telephone_number": "707-527-4413"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 19, 2022; 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.