Organization Active NPI

Verihealth Inc

  • Ambulance
  • Petaluma, CA
National Provider Identifier
1861446452
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
0604667 Issued in CA
Legal business name
VERIHEALTH INC
Practice address
2190 S McDowell Boulevard Ext
Petaluma, CA 94954-6902
Phone
(707) 766-2400
Fax
(707) 766-2426
NPI assigned
May 19, 2006
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Mr. Sean R Sullivan
Title
Coo
Phone
(707) 766-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 0604667 CA Primary

Addresses

Primary practice location

2190 S McDowell Boulevard Ext
Petaluma, CA 94954-6902

Mailing address

2190 S McDowell Boulevard Ext
Petaluma, CA 94954-6902
Phone (707) 766-2400

Other identifiers 1

IdentifierTypeStateIssuer
MTE01180FMedicaidCA

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2190 S McDowell Boulevard Ext
#A
Petaluma, CA 94954
Phone (707) 303-8024

755 Southpoint Blvd
Ste 101A
Petaluma, CA 94954
Phone (707) 766-2400

200 Montgomery Dr
Ste B
Santa Rosa, CA 95404
Phone (707) 303-8024

3963 Santa Rosa Ave
Santa Rosa, CA 95407
Phone (707) 581-2600

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1861446452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2190 S MCDOWELL BOULEVARD EXT",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546902",
            "telephone_number": "707-766-2400",
            "fax_number": "707-766-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2190 S MCDOWELL BOULEVARD EXT",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546902",
            "telephone_number": "707-766-2400",
            "fax_number": "707-766-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERIHEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "707-766-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "CA",
            "license": "0604667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MTE01180F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.