Active NPI
Angela Rozella Todd, FNP
- Family Nurse Practitioner
- Petaluma, CA
National Provider Identifier
1598028714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21949
- Practice address
- 1179 N McDowell Blvd
Petaluma, CA 94954-6559 - Phone
- (707) 559-7500
- NPI assigned
- Jun 21, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21949 | CA | Primary |
Addresses
Primary practice location
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Mailing address
1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500
Other practice location 1
1735 Jefferson Street
Napa, CA 94559
Phone (707) 252-8050
Other names 1
- Angela Rozella Beebe
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Petaluma Health Center Inc | Past | Accepting new patients |
Interoperability endpoints
- angela.toddnp.p1@direct.ppnorcal.nextgenshare.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Petaluma, CA
- NPI 1588656268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711497600000",
"number": "1598028714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1179 N MCDOWELL BLVD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546559",
"telephone_number": "707-559-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1179 N MCDOWELL BLVD",
"city": "PETALUMA",
"state": "CA",
"postal_code": "949546559",
"telephone_number": "707-559-7500"
}
],
"practiceLocations": [
{
"address_1": "1735 Jefferson Street",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "94559",
"country_code": "US",
"telephone_number": "707-252-8050",
"fax_number": "866-886-7824",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TODD",
"first_name": "ANGELA",
"middle_name": "ROZELLA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-21",
"last_updated": "2024-03-27",
"certification_date": "2024-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "21949",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANGELA",
"last_name": "BEEBE",
"middle_name": "ROZELLA",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.