Active NPI
Sutter Medical Center of Santa Rosa
- Psychiatric Hospital Unit
- Santa Rosa, CA
National Provider Identifier
1891909032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- SUTTER MEDICAL CENTER OF SANTA ROSA
- Practice address
- 3325 Chanate Rd
Santa Rosa, CA 95404-1707 - Phone
- (707) 576-4000
- Fax
- (707) 573-7364
- NPI assigned
- May 9, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Avery Schlesenberg
- Title
- Cfo
- Phone
- (707) 576-4009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | CA | Primary |
Addresses
Primary practice location
3325 Chanate Rd
Santa Rosa, CA 95404-1707
Mailing address
3325 Chanate Rd
Santa Rosa, CA 95404-1707
Phone (707) 576-4000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HSM00291G | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Sutter Medical Center of Santa Rosa
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1578531067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1891909032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3325 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041707",
"telephone_number": "707-576-4000",
"fax_number": "707-573-7364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041707",
"telephone_number": "707-576-4000",
"fax_number": "707-573-7364"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUTTER MEDICAL CENTER OF SANTA ROSA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SCHLESENBERG",
"authorized_official_first_name": "AVERY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "707-576-4009",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "HSM00291G",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
- Laura Sutliff, RN
- Sutter Bay Hospitals
- Sutter Bay Medical Foundation (Sutter West Bay Medical Foundation)
- Sutter Bay Medical Foundation (Sutter Pacific Medical Foundation)
- Sutter Medical Center of Santa Rosa
- Sutter Medical Center of Santa Rosa Tcu
- Sutter Medical Foundation (Sutter Medical Foundation North Bay)
- Sutter Medical Foundation North Bay
- Sutter Medical Group of the Redwoods
- Sutter Medical Group of the Redwoods
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.