Active NPI
Jan O Sonander, MD
- Family Medicine Physician
- Santa Rosa, CA
National Provider Identifier
1669659389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G56178
- Legal business name
- JAN O SONANDER, MD
- Practice address
- 11 Doctors Park Dr
Santa Rosa, CA 95405 - Phone
- (707) 542-8700
- Fax
- (707) 528-8700
- NPI assigned
- Jan 24, 2008
- 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
- Dr. Jan O Sonander, MD
- Title
- Owner
- Phone
- (707) 542-8700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G56178 | CA | Primary |
Addresses
Primary practice location
11 Doctors Park Dr
Santa Rosa, CA 95405
Mailing address
11 Doctors Park Dr
Santa Rosa, CA 95405
Phone (707) 542-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G561780 | Other | CA | MEDICARE GROUP PTAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Santa Rosa, CA
- NPI 1598840209
-
- Nurse Practitioner
- Santa Rosa, CA
- NPI 1063620185
-
- Family Medicine Physician
- Cary, NC
- NPI 1710999529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1221696000000",
"number": "1669659389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 DOCTORS PARK DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-542-8700",
"fax_number": "707-528-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 DOCTORS PARK DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95405",
"telephone_number": "707-542-8700",
"fax_number": "707-528-8700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAN O SONANDER, MD",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-24",
"last_updated": "2008-09-18",
"status": "A",
"authorized_official_last_name": "SONANDER",
"authorized_official_first_name": "JAN",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-542-8700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "G56178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "00G561780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.