Active NPI
Cecelia Rondou, FNP, CNM
- Midwife
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 1377
- Practice address
- 990 Sonoma Ave Ste 18
Santa Rosa, CA 95404-4813 - Phone
- (707) 579-1102
- Fax
- (707) 579-1386
- NPI assigned
- Apr 15, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 391135 | CA | |
| Midwife | 176B00000X | 1377 | CA | Primary |
Addresses
Primary practice location
990 Sonoma Ave Ste 18
Santa Rosa, CA 95404-4813
Mailing address
990 Sonoma Ave Ste 18
Santa Rosa, CA 95404-4813
Phone (707) 579-1102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01437995 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 391135 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Khawaja MD Inc | Current | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Providence Medical Foundation | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients |
Locations
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300
500 Doyle Park Dr
Ste 200
Santa Rosa, CA 95405
Phone (707) 303-1719
500 Doyle Park Dr
Ste 103
Santa Rosa, CA 95405
Phone (707) 303-8330
500 Doyle Park Dr
Santa Rosa, CA 95405
Phone (707) 528-1050
990 Sonoma Ave
Ste 18
Santa Rosa, CA 95404
Phone (707) 575-9009
Interoperability endpoints
- crondou1658217@oc.providencedirect.org
- crondou208932@hisp.ehr.sutterhealth.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Obstetrics & Gynecology Physician
- Santa Rosa, CA
- NPI 1902422280
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1740584473
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1285950147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 SONOMA AVE STE 18",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044813",
"telephone_number": "707-579-1102",
"fax_number": "707-579-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 SONOMA AVE STE 18",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044813",
"telephone_number": "707-579-1102",
"fax_number": "707-579-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONDOU",
"first_name": "CECELIA",
"credential": "FNP, CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-15",
"last_updated": "2022-04-28",
"certification_date": "2022-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "391135",
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "1377",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01437995",
"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 Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.