NPIMap

Organization Active NPI

Palm Drive Health Care District

  • General Acute Care Hospital
  • Sebastopol, CA
National Provider Identifier
1851614523
Registry record updated Mar 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
110000091 Issued in CA
Legal business name
PALM DRIVE HEALTH CARE DISTRICT
Practice address
501 Petaluma Ave
Department of ER
Sebastopol, CA 95472-4215
Phone
(707) 829-4373
NPI assigned
Mar 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2010

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

Authorized official

Name
Ms. Cynthia Denton
Title
Chief Business Officer
Phone
(707) 829-4347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 110000091 CA Primary

Addresses

Primary practice location

501 Petaluma Ave
Department of ER
Sebastopol, CA 95472-4215

Mailing address

501 Petaluma Ave
Sebastopol, CA 95472-4215
Phone (707) 823-8511

Other names 1

  • Department of Emergency Room Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1268092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268092800000",
    "number": "1851614523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PETALUMA AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724215",
            "telephone_number": "707-823-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PETALUMA AVE",
            "address_2": "DEPARTMENT OF ER",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724215",
            "telephone_number": "707-829-4373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM DRIVE HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-09",
        "last_updated": "2010-03-09",
        "status": "A",
        "authorized_official_last_name": "DENTON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "CHIEF BUSINESS OFFICER",
        "authorized_official_telephone_number": "707-829-4347",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "110000091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Department of Emergency Room",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2010; 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.