Active NPI
DMK LLC
Doing business as Affirmativ Health
- Primary Care Clinic/Center
- Sonoma, CA
National Provider Identifier
1740827369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- DMK LLC
- Doing business as
- Affirmativ Health
- Practice address
- 462 W Napa St
Sonoma, CA 95476-6519 - Phone
- (707) 800-2302
- Fax
- (707) 996-9965
- NPI assigned
- Dec 2, 2019
- 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. Denise M Kalos
- Title
- Founder and Ceo
- Phone
- (415) 309-3919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
462 W Napa St
Sonoma, CA 95476-6519
Mailing address
482 Saunders Dr
Sonoma, CA 95476-7678
Phone (415) 309-3919
Other names 1
- Affirmativ Health
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Anatomic Pathology & Clinical Pathology Physician
- Bellingham, WA
- NPI 1235193590
Member Of
Locations
19343 Highway 12
Sonoma, CA 95476
Phone (707) 721-4149
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Sonoma, CA
- NPI 1528051489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575244800000",
"number": "1740827369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "482 SAUNDERS DR",
"city": "SONOMA",
"state": "CA",
"postal_code": "954767678",
"telephone_number": "415-309-3919",
"fax_number": "707-996-9965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 W NAPA ST",
"city": "SONOMA",
"state": "CA",
"postal_code": "954766519",
"telephone_number": "707-800-2302",
"fax_number": "707-996-9965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DMK LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-02",
"last_updated": "2019-12-02",
"status": "A",
"authorized_official_last_name": "KALOS",
"authorized_official_first_name": "DENISE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FOUNDER AND CEO",
"authorized_official_telephone_number": "415-309-3919",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Affirmativ Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sonoma, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.