Integrative Medical Clinic of Santa Rosa, a Professional Corporation

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

INTEGRATIVE MEDICAL CLINIC OF SANTA ROSA, A PROFESSIONAL CORPORATION

Practice address

3902 Bones Rd
Sebastopol, CA 95472-9754

Phone

(707) 827-6312

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Robert Dozor, M.D.

Title

Owner

Phone

(707) 827-6312

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrew C Karozos, M.D.

  • Emergency Medicine Physician
  • Healdsburg, CA
  • NPI 1871797852
  NPD (past)

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1750435624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3902 BONES RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729754",
            "telephone_number": "707-827-6312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3902 BONES RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954729754",
            "telephone_number": "707-827-6312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE MEDICAL CLINIC OF SANTA ROSA, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "DOZOR",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-827-6312",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bailey Brian Hyatt, OTD
• Daciana I. Iancu, MD
• Miguel Ibarra
• Tamara Ice
• In-Home Hearing Aid Services
• Kendell Desmond Jack, D.C
• Ella Jackson, LMFT
• Joy Jaco, LMFT
• Brian Paul Jacobs, LCSW
• Marsha Wolfe Jacobs, MFT

• General Practice Physician in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.