Santa Rosa Community Health Centers

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

SANTA ROSA COMMUNITY HEALTH CENTERS

Practice address

983 Sonoma Ave
Santa Rosa, CA 95404-4818

Phone

(707) 547-2220

Fax

(707) 527-0472

NPI assigned

Oct 21, 2011

Organization subpart

Yes

Parent organization

SANTA ROSA COMMUNITY HEALTH CENTERSAs reported in NPPES

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

Authorized official

Name

Gabriela Bernal-Leroi, CEO

Title

Chief Executive Officer

Phone

(707) 303-3600

Specialties & licenses 1

Addresses

Other names 1

• Brookwood Health Center Other name

Part of

Santa Rosa Community Health Center

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

{
    "created_epoch": "1319155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1184909103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 ROUND BARN CIRCLE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035781",
            "telephone_number": "707-547-2220",
            "fax_number": "707-527-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "983 SONOMA AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044818",
            "telephone_number": "707-547-2220",
            "fax_number": "707-527-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SANTA ROSA COMMUNITY HEALTH CENTERS",
        "enumeration_date": "2011-10-21",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "BERNAL-LEROI",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-303-3600",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookwood Health Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Brookwood Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Santa Rosa City Schools
• Santa Rosa Community Healt Centers
• Santa Rosa Community Health Center
• Santa Rosa Community Health Center
• Santa Rosa Community Health Centers
• Santa Rosa Community Health Centers
• Santa Rosa Community Health Centers
• Santa Rosa Community Health Centers
• Santa Rosa Community Health Centers
• Santa Rosa Community Health Centers

• Federally Qualified Health Center (FQHC) in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.