Lifewest Northern California

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

LIFEWEST NORTHERN CALIFORNIA

Practice address

720 Portal St
Cotati, CA 94931-3060

Phone

(707) 755-5060

Fax

(707) 755-5067

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Sean Sullivan

Title

Vice President

Phone

(707) 766-2404

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1154886166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2930",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954050930",
            "telephone_number": "800-811-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 PORTAL ST",
            "city": "COTATI",
            "state": "CA",
            "postal_code": "949313060",
            "telephone_number": "707-755-5060",
            "fax_number": "707-755-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEWEST NORTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "707-766-2404"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Lynn Consulting
• Nathaniel Orlie Lasalle, DDS
• Renee Lawson
• Janet Diva Lenci
• Terry NA Letizi, MFT
• Marc Albert Lloyd
• Jenay Lowe
• Jacob Daniel Maestas
• Demetra Markis, LAC
• Treja McClish

• All providers in Cotati, CA
• Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.