NPIMap

Organization Active NPI

Department of Health Services

  • Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1205980547
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
DEPARTMENT OF HEALTH SERVICES
Practice address
418 Riley St
Santa Rosa, CA 95404-4256
Phone
(707) 565-4567
NPI assigned
Jan 23, 2007
Organization subpart
Yes
Parent organization
COUNTY OF SONOMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Tina Rivera
Title
DHS Director
Phone
(707) 565-7901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

418 Riley St
Santa Rosa, CA 95404-4256

Mailing address

418 Riley St
Santa Rosa, CA 95404-4256

National Provider Directory

National Provider Directory
Tax ID family
Community Hospital of61 organizations share this tax ID, including this one
Part of
Community Hospital of

Organizations with this tax ID in the same state 22

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 22

Locations

418 Riley St
Santa Rosa, CA 95404
Phone (707) 565-4458

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1205980547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 RILEY ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 RILEY ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044256",
            "telephone_number": "707-565-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SONOMA",
        "enumeration_date": "2007-01-23",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "DHS DIRECTOR",
        "authorized_official_telephone_number": "707-565-7901"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 4, 2021; 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.