Organization Active NPI

C4, Inc.

  • Critical Care Medicine (Anesthesiology) Physician
  • Santa Rosa, CA
National Provider Identifier
1740938349
Registry record updated Mar 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
Legal business name
C4, INC.
Practice address
4623 Thomas Lake Harris Dr Unit 311
Santa Rosa, CA 95403-0195
Phone
(402) 517-2446
NPI assigned
Mar 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2022

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

Authorized official

Name
Dr. Maulin Upendra Vora, MD
Title
President
Phone
(402) 517-2446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LC0200X Primary

Addresses

Primary practice location

4623 Thomas Lake Harris Dr Unit 311
Santa Rosa, CA 95403-0195

Mailing address

4623 Thomas Lake Harris Dr Unit 311
Santa Rosa, CA 95403-0195
Phone (402) 517-2446

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647129600000",
    "number": "1740938349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 THOMAS LAKE HARRIS DR UNIT 311",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030195",
            "telephone_number": "402-517-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 THOMAS LAKE HARRIS DR UNIT 311",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954030195",
            "telephone_number": "402-517-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C4, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-13",
        "last_updated": "2022-03-13",
        "certification_date": "2022-03-13",
        "status": "A",
        "authorized_official_last_name": "VORA",
        "authorized_official_first_name": "MAULIN",
        "authorized_official_middle_name": "UPENDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-517-2446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": null,
            "license": null,
            "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 Mar 13, 2022; 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.