Organization Active NPI

Sonoma Surgical a Corp

  • Durable Medical Equipment & Medical Supplies
  • Santa Rosa, CA
National Provider Identifier
1720137649
Registry record updated Apr 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
SRJH 27-070681 Issued in CA
Legal business name
SONOMA SURGICAL A CORP
Practice address
4975 Sonoma Hwy
Santa Rosa, CA 95409-4240
Phone
(707) 539-5151
Fax
(707) 539-7145
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2015

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

Authorized official

Name
Mrs. Rosalyn Claire Sweet
Title
Owner
Phone
(707) 539-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X SRJH 27-070681 CA Primary

Addresses

Primary practice location

4975 Sonoma Hwy
Santa Rosa, CA 95409-4240

Mailing address

4975 Sonoma Hwy
Santa Rosa, CA 95409-4240
Phone (707) 539-5151

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930002378 CA DME Supplier - Medical Supply Company With Orthotic PersonnelDME Supplier - Medical Supply Company With Orthotic-Prosthetic 5991823759 Practice locations: Santa Rosa, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Sonoma Surgical a Corp4975 Sonoma Hwy, Santa Rosa, CA 95409-4240(707) 539-5151 Commodes, Urinals, Bedpans|Heat & Cold Applications|Pneumatic Compression Devices and/or Supplies|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Power Operated Vehicles (Scooters)|Seat Li… Does not accept assignmentParticipating since Jan 1, 1998

National Provider Directory

National Provider Directory

Locations

4975 Sonoma Hwy
Santa Rosa, CA 95409
Phone (707) 539-5151

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428969600000",
    "number": "1720137649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4975 SONOMA HWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094240",
            "telephone_number": "707-539-5151",
            "fax_number": "707-539-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4975 SONOMA HWY",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094240",
            "telephone_number": "707-539-5151",
            "fax_number": "707-539-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA SURGICAL A CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-04-14",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "ROSALYN",
        "authorized_official_middle_name": "CLAIRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-539-5151",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CA",
            "license": "SRJH 27-070681",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.