NPIMap

Organization Active NPI

Family Service Agency of Sonoma County

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
National Provider Identifier
1205982147
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY SERVICE AGENCY OF SONOMA COUNTY
Practice address
751 Lombardi CT Ste C
Santa Rosa, CA 95407-6793
Phone
(707) 545-4551
NPI assigned
Jan 25, 2007
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
Ms. Anya Woltman
Title
Executive Director
Phone
(707) 545-4551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

751 Lombardi CT Ste C
Santa Rosa, CA 95407-6793

Mailing address

751 Lombardi CT Ste C
Santa Rosa, CA 95407-6793
Phone (707) 545-4551

Other identifiers 1

IdentifierTypeStateIssuer
CMM70480FOtherCAOUTPATIENT MENTAL HEALTH

National Provider Directory

National Provider Directory

Locations

751 Lombardi Ct
Ste C
Santa Rosa, CA 95407
Phone (707) 545-4551

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205982147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 LOMBARDI CT STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076793",
            "telephone_number": "707-545-4551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 LOMBARDI CT STE C",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954076793",
            "telephone_number": "707-545-4551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY SERVICE AGENCY OF SONOMA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLTMAN",
        "authorized_official_first_name": "ANYA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-545-4551",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUTPATIENT MENTAL HEALTH",
            "identifier": "CMM70480F",
            "state": "CA"
        }
    ],
    "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 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.