Individual provider Active NPI

Veronica Vuksich, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Santa Rosa, CA
National Provider Identifier
1649317165
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
20A6393 Issued in CA
Practice address
95 Montgomery Dr Ste 100
Santa Rosa, CA 95404-6617
Phone
(707) 578-6692
Fax
(707) 578-8936
NPI assigned
Feb 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 20A6393 CA Primary
Family Medicine Physician 207Q00000X 20A6393 CA

Addresses

Primary practice location

95 Montgomery Dr Ste 100
Santa Rosa, CA 95404-6617

Mailing address

2525 Saddleback CT
Santa Rosa, CA 95401-0805
Phone (707) 579-3583

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000480 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7911933726 Reassigns benefits to 1 organization
Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
College of Osteo Med of the Pacific at Pomona, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

95 Montgomery Dr
Suite 222
Santa Rosa, CA 95404-6629
Phone (707) 578-6692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A6393CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Rosa Community Health Centers CurrentSince Dec 21, 2024 Accepting new patients
Santa Rosa Community Health Centers CurrentSince Dec 21, 2024 Accepting new patients
Santa Rosa Community Health Centers Current Accepting new patients
Linda Towle Psychiatric Mental Health Nursing Services PMH-NP Inc PastSince Sep 17, 2023 Accepting new patients

Locations

3569 Round Barn Cir
Santa Rosa, CA 95403

Interoperability endpoints

  • Direct secure messaging: vvuksich636119@direct.ochin.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1649317165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 SADDLEBACK CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954010805",
            "telephone_number": "707-579-3583",
            "fax_number": "707-578-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 MONTGOMERY DR STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954046617",
            "telephone_number": "707-578-6692",
            "fax_number": "707-578-8936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUKSICH",
        "first_name": "VERONICA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "20A6393",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6393",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.