Active NPI
Santa Rosa Cardiology Medical Group, Inc.
- Cardiovascular Disease Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SANTA ROSA CARDIOLOGY MEDICAL GROUP, INC.
- Practice address
- 990 Sonoma Ave Ste 2
Santa Rosa, CA 95404-4813 - Phone
- (707) 527-8444
- Fax
- (707) 527-5327
- NPI assigned
- Aug 24, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John J Hunter, M.D.
- Title
- Administrator
- Phone
- (707) 527-8444
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | CA | Primary |
Addresses
Primary practice location
990 Sonoma Ave Ste 2
Santa Rosa, CA 95404-4813
Mailing address
990 Sonoma Ave Ste 2
Santa Rosa, CA 95404-4813
Phone (707) 527-5155
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ04845Z | Other | CA | BLUE SHIELD |
| GR0065700 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310001055 | CA | Part B Supplier - Clinic/Group Practice | 6305734278 |
Receives reassigned benefits from 2 practitioners Practice locations: Santa Rosa, CA |
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 |
|---|---|---|---|
| 05D1056268 | Santa Rosa Cardiology Medical Group Inc | Certificate of waiver | Jul 10, 2026 |
National Provider Directory
National Provider DirectoryLocations
990 Sonoma Ave
Ste 2
Santa Rosa, CA 95404
Phone (707) 527-5155
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Santa Rosa, CA
- NPI 1124062500
CA, Cardiovascular Disease
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774483200000",
"number": "1295842532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "990 SONOMA AVE STE 2",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044813",
"telephone_number": "707-527-5155",
"fax_number": "707-527-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "990 SONOMA AVE STE 2",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954044813",
"telephone_number": "707-527-8444",
"fax_number": "707-527-5327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SANTA ROSA CARDIOLOGY MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-24",
"last_updated": "2026-03-26",
"certification_date": "2026-03-26",
"status": "A",
"authorized_official_last_name": "HUNTER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "707-527-8444",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ04845Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0065700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
- Santa Rosa Adult & Child Center for Cognitive Behavioral Therapy
- Santa Rosa Ambulatory Surgical Center Medical Group Inc
- Santa Rosa Back Fitness and Physical Therapy Inc
- Santa Rosa Cardiac Imaging
- Santa Rosa Cardiac Surgery
- Santa Rosa City Schools
- Santa Rosa Community Healt Centers
- Santa Rosa Community Health Center
- Santa Rosa Community Health Center
- Santa Rosa Community Health Centers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.