Santa Rosa Health Associates, Inc.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A41270 Issued in CA

Legal business name

SANTA ROSA HEALTH ASSOCIATES, INC.

Practice address

5011 Whittier Blvd
Los Angeles, CA 90022-3116

Phone

(323) 981-2933

Fax

(323) 981-2935

NPI assigned

May 16, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Teresa Sifuentes Ortiz, FNP

Title

Cfo, Owner

Phone

(323) 216-2068

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337126400000",
    "number": "1457611014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223116",
            "telephone_number": "323-981-2933",
            "fax_number": "323-981-2935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 WHITTIER BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900223116",
            "telephone_number": "323-981-2933",
            "fax_number": "323-981-2935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA HEALTH ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2012-05-16",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "SIFUENTES",
        "authorized_official_title_or_position": "CFO,  OWNER",
        "authorized_official_telephone_number": "323-216-2068",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A41270",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA PHYSICIAN ASSISTANT LICENSE",
            "identifier": "PA19011",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA FAMILY NURSE PRACTITIONER LICENSE",
            "identifier": "7205",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA FAMILY NURSE PRACTITIONER LICENSE",
            "identifier": "15206",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MEDICAL LICENSE",
            "identifier": "A41270",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Helen Merie Santacruz, MA, CCC-SLP
• Yvette Santacruz
• Santamaria Family Therapy, Inc.
• Danielle Santamaria

• Clinic/Center in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; 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.