Integrated Dermatology of Santa Rosa, PC

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

INTEGRATED DERMATOLOGY OF SANTA ROSA, PC

Practice address

6574 Oakmont Dr Ste B
Santa Rosa, CA 95409-5958

Phone

(707) 579-4239

NPI assigned

Mar 15, 2021

Last updated

Aug 27, 2021By 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

Jennifer T. Haley, MD

Title

Authorized Group Official

Phone

(561) 314-2000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan Chinn Amaturo, M.D.

  • Dermatology Physician
  • Santa Rosa, CA
  • NPI 1720012875
  Medicare reassignment Care Compare group NPD
• Jeffrey W Collins, D.O.

  • Dermatology Physician
  • Santa Rosa, CA
  • NPI 1174942403
  Medicare reassignment Care Compare group NPD
• Katherine Macauley Ligtenberg Given, MD, PHD

  • Dermatology Physician
  • Santa Rosa, CA
  • NPI 1124476296
  Medicare reassignment Care Compare group NPD
• Julie Christine Plante, MD

  • Dermatology Physician
  • Santa Rosa, CA
  • NPI 1346426848
  Medicare reassignment Care Compare group NPD
• Christen Mikiko Thompson, A.R.N.P.

  • Nurse Practitioner
  • Santa Rosa, CA
  • NPI 1801820956
  Medicare reassignment Care Compare group NPD
• Dale Raymond Westrom, M.D., PH.D.

  • Dermatology Physician
  • Santa Rosa, CA
  • NPI 1922032077
  Medicare reassignment Care Compare group NPD
• Megan Wray Furniss, D.O.

  • Dermatology Physician
  • Lakeport, CA
  • NPI 1528359577
  Medicare reassignment NPD
• John L. Maddox, MD

  • Dermatology Physician
  • Greenbrae, CA
  • NPI 1790837508
  NPD
• Teresa Zamary, D.O.

  • Dermatology Physician
  • Redwood City, CA
  • NPI 1417185216
  NPD
• Holly Louise Christman, M.D.

  • MOHS-Micrographic Surgery Physician
  • Sausalito, CA
  • NPI 1275567323

  Dermatology

  NPD (past)
• Rachel Holcombe, FNP

  • Family Nurse Practitioner
  • Healdsburg, CA
  • NPI 1861307597
  NPD (past)
• Kathryn Marie Kent, MD

  • MOHS-Micrographic Surgery Physician
  • Napa, CA
  • NPI 1811159387

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630022400000",
    "number": "1508441247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-314-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6574 OAKMONT DR STE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954095958",
            "telephone_number": "707-579-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED DERMATOLOGY OF SANTA ROSA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "AUTHORIZED GROUP OFFICIAL",
        "authorized_official_telephone_number": "561-314-2000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariel Inocencio Madrigal
• Aleksey Olegovich Inokhodov, FNP-C
• Christina Tlatilpa Inong
• Inpatient Consultants of California, Inc.
• Inpatient Services of California, a Medical Corporation
• Internal Medicine Associates of Santa Rosa Medical Group Inc
• Intune Family Counseling, Inc.
• Dorothy Lynn Iriks, MFT
• Jeanette Irlando
• Andrie Irons

• Dermatology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.