Active NPI
Eugene Belogorsky M.D. Inc
- Pulmonary Disease Physician
- Santa Rosa, CA
National Provider Identifier
1093748444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 00G29625
- Legal business name
- EUGENE BELOGORSKY M.D. INC
- Practice address
- 585 W College Ave
Suite a
Santa Rosa, CA 95401-5000 - Phone
- (707) 526-3500
- Fax
- (707) 526-2358
- NPI assigned
- Jul 9, 2006
- Last updated
- Dec 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Eugene Belogorsky, M.D.
- Title
- President
- Phone
- (707) 526-3500
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 00G29625 | CA | Primary |
Addresses
Primary practice location
585 W College Ave
Suite a
Santa Rosa, CA 95401-5000
Mailing address
585 W College Ave
Suite a
Santa Rosa, CA 95401-5000
Phone (707) 526-3500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR00174F | Other | CA | TRAUMA |
| ZZZ51167Z | Other | CA | GROUPONEHEALTHSOURCE LLC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pulmonary Disease Physician
- Santa Rosa, CA
- NPI 1184657538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292284800000",
"number": "1093748444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 W COLLEGE AVE",
"address_2": "SUITE A",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954015000",
"telephone_number": "707-526-3500",
"fax_number": "707-526-2358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 W COLLEGE AVE",
"address_2": "SUITE A",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954015000",
"telephone_number": "707-526-3500",
"fax_number": "707-526-2358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUGENE BELOGORSKY M.D. INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-09",
"last_updated": "2010-12-14",
"status": "A",
"authorized_official_last_name": "BELOGORSKY",
"authorized_official_first_name": "EUGENE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-526-3500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "00G29625",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAUMA",
"identifier": "ZZR00174F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUPONEHEALTHSOURCE LLC",
"identifier": "ZZZ51167Z",
"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 Dec 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.