Organization Active NPI

County of Sonoma

Doing business as Adult Medication Support Services

  • Adolescent and Children Mental Health Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1629124037
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
COUNTY OF SONOMA
Doing business as
Adult Medication Support Services
Practice address
2235 Challenger Way Ste 101, 103, 107
Santa Rosa, CA 95407-5458
Phone
(707) 565-4917
NPI assigned
Jan 26, 2007
Last updated
Sep 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
COUNTY OF SONOMAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ruby Zhang
Title
Department Analyst
Phone
(707) 565-7846

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

2235 Challenger Way Ste 101, 103, 107
Santa Rosa, CA 95407-5458

Mailing address

2235 Challenger Way Ste 107
Santa Rosa, CA 95407-5421

Other identifiers 1

IdentifierTypeStateIssuer
49C1OtherCAPROVIDER NUMBER

Other names 1

  • ADULT MEDICATION SUPPORT SERVICES Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616001152 CA Part B Supplier - Clinic/Group Practice 4688658651 Receives reassigned benefits from 65 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cloverdale, CA; Sonoma, CA; Santa Rosa, CA; Petaluma, CA; Guerneville, CA

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Part of
Sonoma Countydept of Me

Locations

2235 Challenger Way
Ste 101
Santa Rosa, CA 95407
Phone (707) 565-4900

2235 Challenger Way
Ste 101107
Santa Rosa, CA 95407

2235 Challenger Way
Ste 107
Santa Rosa, CA 95407

2235 Challenger Way
Ste 107108
Santa Rosa, CA 95407

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1629124037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2235 CHALLENGER WAY STE 107",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CHALLENGER WAY STE 101, 103, 107",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075458",
            "telephone_number": "707-565-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SONOMA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SONOMA",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "DEPARTMENT ANALYST",
        "authorized_official_telephone_number": "707-565-7846"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "49C1",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADULT MEDICATION SUPPORT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADULT MEDICATION SUPPORT SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.