Organization Active NPI

Scog Physician Assistant Corporation

  • Primary Care Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1457281552
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SCOG PHYSICIAN ASSISTANT CORPORATION
Practice address
1688 Tecado Dr
Santa Rosa, CA 95403-7976
Phone
(707) 602-0013
Fax
(707) 581-1900
NPI assigned
May 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Authorized official

Name
Ruth Volkenant, PA-CNPI 1174277842
Title
Owner
Phone
(707) 602-0013

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1688 Tecado Dr
Santa Rosa, CA 95403-7976

Mailing address

1688 Tecado Dr
Santa Rosa, CA 95403-7976
Phone (707) 602-0013

National Provider Directory

National Provider Directory
Tax ID family
Scog Physician Assistant Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779235200000",
    "number": "1457281552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 TECADO DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037976",
            "telephone_number": "707-602-0013",
            "fax_number": "707-581-0013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1688 TECADO DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037976",
            "telephone_number": "707-602-0013",
            "fax_number": "707-581-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOG PHYSICIAN ASSISTANT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "VOLKENANT",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-602-0013",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 May 20, 2026; 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.