Individual provider Active NPI

Jordan Ranft, ACSW

  • Social Worker
  • Santa Rosa, CA
National Provider Identifier
1871103879
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
115894 Issued in CA
Practice address
160 Wikiup Dr Ste 102
Santa Rosa, CA 95403-7776
Phone
(510) 317-1444
NPI assigned
Aug 4, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X
Social Worker 104100000X 115894 CA Primary

Addresses

Primary practice location

160 Wikiup Dr Ste 102
Santa Rosa, CA 95403-7776

Mailing address

160 Wikiup Dr Ste 102
Santa Rosa, CA 95403-7776
Phone (510) 317-1444

Other practice location 1

3371 Parker Hill Rd
Santa Rosa, CA 95404-1732
Phone (415) 861-0828 ext. 132

Other practice location 2

8945 Golf Links Rd
Oakland, CA 94605-4124
Phone (510) 317-1444

Other practice location 3

3371 Parker Hill Rd
Santa Rosa, CA 95404-1732
Phone (415) 861-0828 ext. 132

Other practice location 4

1733 Skillman Ln
Petaluma, CA 94952-1250
Phone (877) 759-0787

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
115894CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1871103879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WIKIUP DR STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037776",
            "telephone_number": "510-317-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WIKIUP DR STE 102",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037776",
            "telephone_number": "510-317-1444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3371 Parker Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954041732",
            "country_code": "US",
            "telephone_number": "415-861-0828 x132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8945 Golf Links Rd",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946054124",
            "country_code": "US",
            "telephone_number": "510-317-1444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3371 Parker Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954041732",
            "country_code": "US",
            "telephone_number": "415-861-0828 x132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1733 Skillman Ln",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949521250",
            "country_code": "US",
            "telephone_number": "877-759-0787",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANFT",
        "first_name": "JORDAN",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "115894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.