Healdsburg Primary Care, a Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A40925 Issued in CA

Legal business name

HEALDSBURG PRIMARY CARE, A MEDICAL CORPORATION

Practice address

1312 Prentice Drive
Healdsburg, CA 95448

Phone

(707) 433-3383

Fax

(707) 433-7210

NPI assigned

Jan 29, 2007

Organization subpart

No

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

Authorized official

Name

Locke L Wilson, MD

Title

President

Phone

(707) 433-3383

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas D Pile, MD

  • Family Medicine Physician
  • Healdsburg, CA
  • NPI 1710914577
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1821134511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 PRENTICE DRIVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "95448",
            "telephone_number": "707-433-3383",
            "fax_number": "707-433-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 PRENTICE DRIVE",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "95448",
            "telephone_number": "707-433-3383",
            "fax_number": "707-433-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALDSBURG PRIMARY CARE, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LOCKE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-433-3383",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A40925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ana Maria Halstad, L.C.S.W
• Meredith Harper, NP
• Bill D Harris, DDS,MS
• Healdsburg Direct Care an Advanced Practice Nursing Corp
• Healdsburg Physical Therapy and Wellness PC
• Healdsburg Senior Living Community
• Healdsburg Unified School District
• Guadalupe Nieto Hedrick, M.D.
• Adrienne Julie Heinz, PH.D.
• Cassandra Heller, DO

• Internal Medicine Physician in Healdsburg, CA
• Providers in Healdsburg, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.