NPIMap

Organization Active NPI

County of Sonoma

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Santa Rosa, CA
National Provider Identifier
1306050828
Registry record updated May 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
COUNTY OF SONOMA
Practice address
112 Childrens Cir
Santa Rosa, CA 95409-6558
Phone
(707) 565-4850
NPI assigned
May 10, 2007
Organization subpart
Yes
Parent organization
COUNTY OF SONOMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2023

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

Authorized official

Name
Ruby Zhang
Title
Department Analyst
Phone
(707) 565-7846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

112 Childrens Cir
Santa Rosa, CA 95409-6558

Mailing address

PO Box 1539
Santa Rosa, CA 95402-1539

Other identifiers 1

IdentifierTypeStateIssuer
49B9OtherCAPROVIDER NUMBER

Other names 1

  • Valley Of The Moon Children's Home Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616001152 CA Part B Supplier - Clinic/Group Practice 4688658651 Receives reassigned benefits from 65 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cloverdale, CA; Sonoma, CA; Santa Rosa, CA; Petaluma, CA; Guerneville, CA

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

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 24

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

View all 24

Locations

1360 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 565-4733

5350 Old Redwood Hwy
Unit 600
Petaluma, CA 94954
Phone (707) 565-1270

490 Mendocino Ave
Ste 202
Santa Rosa, CA 95401
Phone (707) 494-2974

112 Childrens Cir
Santa Rosa, CA 95409
Phone (707) 565-4322

2235 Challenger Way
Ste 107108
Santa Rosa, CA 95407

2235 Challenger Way
Ste 207
Santa Rosa, CA 95407

3333 Chanate Rd
Santa Rosa, CA 95404
Phone (707) 565-4900

Practitioners & affiliated clinicians

Practitioners 124

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

View all 124

NPI Registry JSON

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

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1306050828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1539",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954021539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CHILDRENS CIR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954096558",
            "telephone_number": "707-565-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SONOMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SONOMA",
        "enumeration_date": "2007-05-10",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "DEPARTMENT ANALYST",
        "authorized_official_telephone_number": "707-565-7846"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "49B9",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Of The Moon Children's Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.