Organization Active NPI

Decipher One Medical PC

  • Primary Care Clinic/Center
  • Sonoma, CA
National Provider Identifier
1578411641
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.