North Coast Faculty Medical Group Inc.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

NORTH COAST FACULTY MEDICAL GROUP INC.

Practice address

1144 Sonoma Ave
101
Santa Rosa, CA 95405-4812

Phone

(707) 526-7920

Fax

(707) 546-5334

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Steven E Levenberg, DO

Title

President

Phone

(707) 521-8879

Specialties & licenses 1

Addresses

Other names 1

• Sutter Medical Group of the Redwoods Doing business as

Locations

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1760717441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR",
            "address_2": "SUITE 300",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031670",
            "telephone_number": "707-521-8809",
            "fax_number": "707-521-8820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1144 SONOMA AVE",
            "address_2": "101",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054812",
            "telephone_number": "707-526-7920",
            "fax_number": "707-546-5334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST FACULTY MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "LEVENBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-521-8879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Medical Group of the Redwoods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Bay Neurosurgical Associates Medical Group
• North Bay Pain Care
• North Bay Psychiatric Associates Inc
• North Bay Sleep Medicine Institute, Inc.
• North Coast Faculty Medical Group Inc
• North Coast Hospitalist, PC
• North Coast Medical Center Inc
• Northern California Center for Well-Being
• Northern California Child Psychology Services Inc.
• Northern California Medical Assoc

• Otolaryngology Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.