Active NPI
Cynthia Morris, M.D.
- Family Medicine Physician
- Santa Rosa, CA
National Provider Identifier
1376526103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G69764
- Practice address
- 4750 Hoen Ave
Santa Rosa, CA 95405-7824 - Phone
- (707) 542-1611
- Fax
- (707) 542-9958
- NPI assigned
- Nov 25, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G69764 | CA | Primary |
Addresses
Primary practice location
4750 Hoen Ave
Santa Rosa, CA 95405-7824
Mailing address
4750 Hoen Ave
Santa Rosa, CA 95405-7833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G697640 | Medicaid | CA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cmorris1658089@oc.providencedirect.org | ||
| Direct Messaging Address | cmorris1658089@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69764 | CA | MD | Family Medicine Physician |
Interoperability endpoints
- cmorris1658089@oc.providencedirect.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636329600000",
"number": "1376526103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4750 HOEN AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4750 HOEN AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954057824",
"telephone_number": "707-542-1611",
"fax_number": "707-542-9958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORRIS",
"first_name": "CYNTHIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-25",
"last_updated": "2021-11-08",
"certification_date": "2021-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G69764",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G697640",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmorris1658089@oc.providencedirect.org",
"affiliation": "N",
"address_1": "1450 Medical Center Dr Ste 1",
"city": "Rohnert Park",
"state": "CA",
"country_code": "US",
"postal_code": "949282933",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cmorris1658089@oc.providencedirect.org",
"affiliation": "N",
"address_1": "2323 Bethards Dr",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954058500",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.