Active NPI
Rochelle Lenore Bomar, D.P.M.
- Podiatrist
- Petaluma, CA
National Provider Identifier
1558433029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- DP00285
- Practice address
- 231 N McDowell Blvd
Suite D
Petaluma, CA 94954-8300 - Phone
- (707) 763-4343
- Fax
- (707) 283-4663
- NPI assigned
- Nov 14, 2006
- Last updated
- Jan 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | DP00285 | OR | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E4200 | CA |
Addresses
Primary practice location
231 N McDowell Blvd
Suite D
Petaluma, CA 94954-8300
Mailing address
231 N McDowell Blvd
Suite D
Petaluma, CA 94954-8300
Phone (707) 763-4343
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DP00285 | OR | MD | Podiatrist |
| E4200 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 4200 | CA | MD | Certified Registered Nurse Anesthetist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296172800000",
"number": "1558433029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "231 N MCDOWELL BLVD",
"address_2": "SUITE D",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949548300",
"telephone_number": "707-763-4343",
"fax_number": "707-283-4663"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 N MCDOWELL BLVD",
"address_2": "SUITE D",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949548300",
"telephone_number": "707-763-4343",
"fax_number": "707-283-4663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOMAR",
"first_name": "ROCHELLE",
"middle_name": "LENORE",
"name_prefix": "Mrs.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-14",
"last_updated": "2011-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OR",
"license": "DP00285",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E4200",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Petaluma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.