Global Fresh Start

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

GLOBAL FRESH START

Practice address

728 Mendocino Ave
Santa Rosa, CA 95401-4804

Phone

(707) 483-7227

Fax

(707) 595-1095

NPI assigned

Jun 4, 2013

Last updated

Jun 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gian Nhan, M.D.

Title

Secretary

Phone

(707) 328-8789

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1370304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370304000000",
    "number": "1366889024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "728 MENDOCINO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014804",
            "telephone_number": "707-483-7227",
            "fax_number": "707-595-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 MENDOCINO AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014804",
            "telephone_number": "707-483-7227",
            "fax_number": "707-595-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL FRESH START",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-04",
        "last_updated": "2013-06-04",
        "status": "A",
        "authorized_official_last_name": "NHAN",
        "authorized_official_first_name": "GIAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "707-328-8789",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane C. Gleim, MA, LMFT
• Hayden Glenn
• William Glenn, MFT
• Andriya Glessner, RAS
• Alexis Katherine Glidewell, LCSW
• Sophie Glogovac-Smith
• Kayla Marie Gloisten, DC
• Corina M. Glover, MD
• Kyle Glover, MD
• Louisa Gluck, MFT

• Rehabilitation Clinic/Center in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; 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.