Jeffrey B. Nordella MD, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JEFFREY B. NORDELLA MD, INC

Practice address

11105 Rocky High Rd
Santa Rosa Valley, CA 93012-9078

Phone

(805) 208-4250

NPI assigned

Apr 6, 2020

Organization subpart

No

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

Authorized official

Name

Jeffrey Nordella, MD

Title

Owner

Phone

(805) 208-4250

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19935/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1265061824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11105 ROCKY HIGH RD",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930129078",
            "telephone_number": "805-208-4250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11105 ROCKY HIGH RD",
            "city": "SANTA ROSA VALLEY",
            "state": "CA",
            "postal_code": "930129078",
            "telephone_number": "805-208-4250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY B. NORDELLA MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "NORDELLA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-208-4250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Redman Borelli, MA, CCC-SLP
• Emma Elizabeth Bowers, AMFT
• Ca Ya Services LLC
• Alexander Figueroa Rodriguez, PA-C
• Diane Grabowski-Nepa, RD
• Christine A Jones, PT
• Leslie S. Jones, RPH
• Melissa Kasso, PPS
• Caroline Lockett-Corwell, LMFT, APCC, CADC II
• Monroe Operations LLC

• Family Medicine Physician in Santa Rosa Valley, CA
• Providers in Santa Rosa Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.