Ca 22LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

CA 22LLC

Practice address

76 Brockwood Avenue
Suite B
Santa Rosa, CA 95404-4312

Phone

(707) 523-4907

Fax

(707) 523-4953

NPI assigned

Jun 16, 2023

Organization subpart

No

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

Authorized official

Name

Sophie Pappas

Title

Owner

Phone

(415) 847-1755

Specialties & licenses 1

Addresses

Tax ID family

Ca 22 LLC2 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.

• Ca 22 LLC

  • Anesthesiology Physician
  • Santa Rosa, CA
  • NPI 1588358709
  NPD tax ID

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686873600000",
    "number": "1811672009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 BROCKWOOD AVENUE",
            "address_2": "SUITE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "945044312",
            "telephone_number": "707-523-4907",
            "fax_number": "707-523-4953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BROCKWOOD AVENUE",
            "address_2": "SUITE B",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044312",
            "telephone_number": "707-523-4907",
            "fax_number": "707-523-4953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CA 22LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-16",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-07",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-847-1755"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Ann Byrne
• Thomas Gerard Byrne
• Lori Byrum
• C4, Inc.
• Ca 22 LLC
• Claudia Caballero Ruiz
• Jennifer Cabello-Chavez, NP
• Stacey Cablk, MA, LMFT
• Ashlee Cabral, LMFT
• Daisy Cabrera

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.