Sonomamodelx Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SONOMAMODELX INC

Practice address

765 Donald St
Sonoma, CA 95476-4604

Phone

(415) 264-5486

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Julie Latifi

Title

Licensee

Phone

(415) 264-5486

Specialties & licenses 1

Addresses

Tax ID family

Mirabel Lodge2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mirabel Lodge

  • Assisted Living Facility
  • Forestville, CA
  • NPI 1366168296
  NPD tax ID

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684800000000",
    "number": "1750073136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 DONALD ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954764604",
            "telephone_number": "415-264-5486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 DONALD ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954764604",
            "telephone_number": "415-264-5486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMAMODELX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-05-23",
        "certification_date": "2023-05-23",
        "status": "A",
        "authorized_official_last_name": "LATIFI",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "415-264-5486"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonoma Valley Health Care District
• Sonoma Valley Health Care District
• Sonoma Valley Health Care District
• Sonoma Valley Unified School District
• Sonomaidence Opco, LLC
• Sound Inpatient Physicians Medical Group, Inc
• Juie Dawn Souza, OTR/L
• Rebecca Anne Spear, DNP, ARNP, AGNP-C
• Dane Spence
• Gina Rachelle Spradling

• Assisted Living Facility in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2023; 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.