NPIMap

Organization Active NPI

County of Sonoma

  • Case Management Agency
  • Santa Rosa, CA
National Provider Identifier
1669802518
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
COUNTY OF SONOMA
Practice address
3725 Westwind Blvd
Suite 101
Santa Rosa, CA 95403-9081
Phone
(707) 565-5900
NPI assigned
Nov 13, 2013
Last updated
Nov 13, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Diane Kaljian
Title
Division Director
Phone
(707) 565-5900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

3725 Westwind Blvd
Suite 101
Santa Rosa, CA 95403-9081

Mailing address

3725 Westwind Blvd
Suite 101
Santa Rosa, CA 95403-9081
Phone (707) 565-5900

Other identifiers 1

IdentifierTypeStateIssuer
MSS00011FMedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Sonoma Countydept of Me61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

3725 Westwind Blvd
Ste 101
Santa Rosa, CA 95403
Phone (707) 565-5909

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1669802518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 WESTWIND BLVD",
            "address_2": "SUITE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954039081",
            "telephone_number": "707-565-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 WESTWIND BLVD",
            "address_2": "SUITE 101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954039081",
            "telephone_number": "707-565-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SONOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "KALJIAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "DIVISION DIRECTOR",
        "authorized_official_telephone_number": "707-565-5900"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MSS00011F",
            "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 Nov 13, 2013; 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.