Santa Rosa Walk-in Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G63647 Issued in CA

Legal business name

SANTA ROSA WALK-IN MEDICAL CENTER

Practice address

4934 Verdugo Way
Camarillo, CA 93012-8631

Phone

(805) 484-0095

Fax

(805) 388-2174

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Walter R Dugger, MD

Title

President

Phone

(805) 484-0095

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468800000000",
    "number": "1144334616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4934 VERDUGO WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128631",
            "telephone_number": "805-484-0095",
            "fax_number": "805-388-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4934 VERDUGO WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930128631",
            "telephone_number": "805-484-0095",
            "fax_number": "805-388-2174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA WALK-IN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2016-07-18",
        "status": "A",
        "authorized_official_last_name": "DUGGER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-484-0095",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G63647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guicela C Sandoval
• Ingrid Sandoval, MA
• Dana Sanduk
• Lauren Sansone
• Santa Rosa Medical Group, Inc.
• Rachel Hope Santana Mendoza, RN
• Codi Kevin Santana
• Rebecca Cecilia Santana
• Vivian Victoria Santana
• Marisa Santelli Pauletti

• Family Medicine Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2016; 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.