Active NPI
County of Sonoma
- Clinical Medical Laboratory
- Santa Rosa, CA
National Provider Identifier
1194874065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- COUNTY OF SONOMA
- Practice address
- 3313 Chanate Rd
Santa Rosa, CA 95404-1707 - Phone
- (707) 565-4711
- NPI assigned
- Jan 9, 2007
- Organization subpart
- Yes
- Parent organization
- COUNTY OF SONOMA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diana Stornetta
- Title
- Accountant III - Compliance
- Phone
- (707) 565-4782
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3313 Chanate Rd
Santa Rosa, CA 95404-1707
Mailing address
3313 Chanate Rd
Santa Rosa, CA 95404-1707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LAB58457F | Medicaid | CA |
Other names 1
- Sonoma County Public Health
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0644064 | Sonoma County Public Health Laboratory | Compliance | Feb 23, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Community Hospital of
- Part of
- Community Hospital of
Organizations with this tax ID in the same state 21
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinic/Center
- Santa Rosa, CA
- NPI 1093220675
-
- Prison Health Clinic/Center
- Santa Rosa, CA
- NPI 1104671247
-
- Community/Behavioral Health Agency
- Santa Rosa, CA
- NPI 1154470300
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1154537512
-
- Community/Behavioral Health Agency
- Santa Rosa, CA
- NPI 1174477913
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Guerneville, CA
- NPI 1225242860
-
- Clinic/Center
- Santa Rosa, CA
- NPI 1255016366
-
- Clinic/Center
- Santa Rosa, CA
- NPI 1265949259
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1275749624
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Santa Rosa, CA
- NPI 1285425314
-
- Adult Mental Health Clinic/Center
- Santa Rosa, CA
- NPI 1285451864
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Petaluma, CA
- NPI 1295949733
Locations
3313 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 527-2378
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168300800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223856000000",
"number": "1194874065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3313 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3313 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041707",
"telephone_number": "707-565-4711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNTY OF SONOMA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COUNTY OF SONOMA",
"enumeration_date": "2007-01-09",
"last_updated": "2008-10-13",
"status": "A",
"authorized_official_last_name": "STORNETTA",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "ACCOUNTANT III - COMPLIANCE",
"authorized_official_telephone_number": "707-565-4782"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LAB58457F",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sonoma County Public Health",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Oct 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.