NPIMap

Organization Active NPI

Santa Rosa Community Health Centers

  • Adult Day Care Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1689742215
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
070000491 Issued in CA
Legal business name
SANTA ROSA COMMUNITY HEALTH CENTERS
Practice address
684 Benecia Drive
Santa Rosa, CA 95409-3058
Phone
(707) 573-4565
Fax
(707) 576-6687
NPI assigned
Dec 1, 2006
Last updated
May 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Ms. Naomi Fuchs
Title
Chief Executive Officer
Phone
(707) 303-3091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 070000491 CA Primary

Addresses

Primary practice location

684 Benecia Drive
Santa Rosa, CA 95409-3058

Mailing address

3569 Round Barn Circle
Santa Rosa, CA 95403-5781
Phone (707) 303-3600

Other identifiers 1

IdentifierTypeStateIssuer
ADUF0034GMedicaidCA

Other names 1

  • Southwest Community Health Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Santa Rosa Community Health16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1689742215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3569 ROUND BARN CIRCLE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035781",
            "telephone_number": "707-303-3600",
            "fax_number": "707-303-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 BENECIA DRIVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954093058",
            "telephone_number": "707-573-4565",
            "fax_number": "707-576-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "FUCHS",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "707-303-3091",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "CA",
            "license": "070000491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ADUF0034G",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southwest Community Health Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 9, 2012; 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.