NPIMap

Organization Active NPI

North County Trauma Services, Inc.

  • Trauma Surgery Physician
  • Healdsburg, CA
National Provider Identifier
1194819532
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
68721 Issued in CA
Legal business name
NORTH COUNTY TRAUMA SERVICES, INC.
Practice address
451 March Avenue
Suite B
Healdsburg, CA 95448-3387
Phone
(707) 433-8844
Fax
(707) 433-8836
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Henry Cuevas Flores, M.D.
Title
Incorporator
Phone
(707) 433-8844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0127X 68721 CA Primary

Addresses

Primary practice location

451 March Avenue
Suite B
Healdsburg, CA 95448-3387

Mailing address

451 March Avenue
Suite B
Healdsburg, CA 95448-3387
Phone (707) 433-8844

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194819532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 MARCH AVENUE",
            "address_2": "SUITE B",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483387",
            "telephone_number": "707-433-8844",
            "fax_number": "707-433-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 MARCH AVENUE",
            "address_2": "SUITE B",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483387",
            "telephone_number": "707-433-8844",
            "fax_number": "707-433-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COUNTY TRAUMA SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "CUEVAS",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "707-433-8844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "68721",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.