Active NPI
Decipher One Medical PC
- Primary Care Clinic/Center
- Sonoma, CA
National Provider Identifier
1578411641
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- DECIPHER ONE MEDICAL PC
- Practice address
- 617 Broadway Unit 120
Sonoma, CA 95476-2402 - Phone
- (210) 861-9819
- NPI assigned
- Mar 17, 2026
- Last updated
- Mar 17, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Santos John Dominguez II
- Title
- Operations Director
- Phone
- (210) 861-9819
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | Primary |
Addresses
Primary practice location
617 Broadway Unit 120
Sonoma, CA 95476-2402
Mailing address
617 Broadway Unit 120
Sonoma, CA 95476-2402
Phone (210) 861-9819
National Provider Directory
National Provider DirectoryLocations
617 Broadway
Unit 120
Sonoma, CA 95476
Phone (210) 861-9819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773705600000",
"number": "1578411641",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "617 BROADWAY UNIT 120",
"city": "SONOMA",
"state": "CA",
"postal_code": "954762402",
"telephone_number": "210-861-9819"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 BROADWAY UNIT 120",
"city": "SONOMA",
"state": "CA",
"postal_code": "954762402",
"telephone_number": "210-861-9819"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DECIPHER ONE MEDICAL PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-17",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A",
"authorized_official_last_name": "DOMINGUEZ",
"authorized_official_first_name": "SANTOS",
"authorized_official_middle_name": "JOHN",
"authorized_official_title_or_position": "OPERATIONS DIRECTOR",
"authorized_official_telephone_number": "210-861-9819",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "II"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.