Sebastopol Convalescent Hospital

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

SEBASTOPOL CONVALESCENT HOSPITAL

Practice address

477 Petaluma Ave
Sebastopol, CA 95472-4206

Phone

(707) 823-7855

Fax

(707) 823-8047

NPI assigned

Sep 29, 2005

Last updated

Jun 20, 2008By 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

Mr. Kenneth Chambers

Title

Office Manager

Phone

(707) 823-7855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1568459147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 PETALUMA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724206",
            "telephone_number": "707-823-7855",
            "fax_number": "707-823-8047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 PETALUMA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724206",
            "telephone_number": "707-823-7855",
            "fax_number": "707-823-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTOPOL CONVALESCENT HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-29",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-823-7855",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Eduarda Schuch Goncalves
• Peter A Schulze
• Katherine J Schwimmer
• William Lenard Schwimmer, PHD
• Sebastopol ASC, L.P.
• Sebastopol Family Pharmacy, Inc.
• Sebastopol Independent Charter
• Sebastopol Physical Therapy and Pilates Studio
• Sebastopol Union School District
• Sebastopol Urgent Care

• Skilled Nursing Facility in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.