Sebastopol Urgent Care

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

SEBASTOPOL URGENT CARE

Practice address

555 Petaluma Ave Ste B
Sebastopol, CA 95472-4225

Phone

(707) 239-9257

NPI assigned

May 18, 2021

Organization subpart

No

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

Authorized official

Name

Elizabeth Flowers, MD

Title

Physician / Owner

Phone

(707) 239-9257

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 6

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

• Michelle Davey, DO

  • Family Medicine Physician
  • Petaluma, CA
  • NPI 1366445785
  Medicare reassignment NPD
• Elizabeth Flower, M.D.

  • Family Medicine Physician
  • Windsor, CA
  • NPI 1538173141
  Medicare reassignment NPD
• Lora Lee Grutkowski, RN FNP-BC ACNS-BC

  • Nurse Practitioner
  • Sebastopol, CA
  • NPI 1134280464
  Medicare reassignment NPD
• Kathleen Ellen Whisman, M.D.

  • Family Medicine Physician
  • Sebastopol, CA
  • NPI 1124179353
  Medicare reassignment NPD
• Marcy Lin Morrow, PAC

  • Physician Assistant
  • Gooding, ID
  • NPI 1942212600

  CA

  Medicare reassignment
• Mary Pat Nesbit, PA

  • Emergency Medicine Physician
  • Phoenix, AZ
  • NPI 1982695615

  CA

  Medicare reassignment

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

{
    "created_epoch": "1621296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621296000000",
    "number": "1497329015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 PETALUMA AVE STE B",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724225",
            "telephone_number": "707-239-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 PETALUMA AVE STE B",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724225",
            "telephone_number": "707-239-9257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTOPOL URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-18",
        "last_updated": "2021-05-18",
        "certification_date": "2021-05-18",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "707-239-9257",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sebastopol ASC, L.P.
• Sebastopol Convalescent Hospital
• Sebastopol Family Pharmacy, Inc.
• Sebastopol Physical Therapy and Pilates Studio
• Sebastopol Union School District
• Seeking Peace Therapy, a Licensed Clinical Social Worker
• Lawrence Segrue
• Maggie Rose Self, MFT
• Silvano Constantino Senn, D.D.S.
• Serenity Villa Inc

• Urgent Care Clinic/Center in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; 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.