Active NPI
Physician Assistant Consults, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sebastopol, CA
National Provider Identifier
1740136068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- PHYSICIAN ASSISTANT CONSULTS, INC.
- Practice address
- 6400 Lone Pine Rd
Sebastopol, CA 95472-5623 - Phone
- (707) 861-1187
- Fax
- (707) 261-0786
- NPI assigned
- Mar 9, 2026
- 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
- Ms. Roseanna Maria Duenas, PA-C
- Title
- Ceo
- Phone
- (707) 861-1187
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
6400 Lone Pine Rd
Sebastopol, CA 95472-5623
Mailing address
2108 N St Ste 4588
Sacramento, CA 95816-5712
Phone (707) 861-1187
Other names 1
- Intrinsic Wellness, A Physician Assistant Corporation
National Provider Directory
National Provider DirectoryPractitioners & 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": "1773014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1784505600000",
"number": "1740136068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 N ST STE 4588",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165712",
"telephone_number": "707-861-1187",
"fax_number": "707-261-0786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 LONE PINE RD",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954725623",
"telephone_number": "707-861-1187",
"fax_number": "707-261-0786"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIAN ASSISTANT CONSULTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-09",
"last_updated": "2026-07-20",
"certification_date": "2026-07-20",
"status": "A",
"authorized_official_last_name": "DUENAS",
"authorized_official_first_name": "ROSEANNA",
"authorized_official_middle_name": "MARIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "707-861-1187",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "PA-C"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Intrinsic Wellness, A Physician Assistant Corporation",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.