North Coast Faculty Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

NORTH COAST FACULTY MEDICAL GROUP INC

Practice address

510 Doyle Park Dr
Santa Rosa, CA 95405-4570

Phone

(707) 526-1800

Fax

(707) 526-9352

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Steven E Levenberg, DO

Title

President

Phone

(707) 521-8879

Specialties & licenses 1

Addresses

Other names 1

• Sutter Medical Group of the Redwoods Doing business as

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252022400000",
    "number": "1891928834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR",
            "address_2": "SUITE 300",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031670",
            "telephone_number": "707-521-8809",
            "fax_number": "707-521-8835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DOYLE PARK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054570",
            "telephone_number": "707-526-1800",
            "fax_number": "707-526-9352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST FACULTY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-09-04",
        "status": "A",
        "authorized_official_last_name": "LEVENBERG",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-521-8879",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sutter Medical Group of the Redwoods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Bay Neuropsychology a Psychology Corporation
• North Bay Neurosurgical Associates Medical Group
• North Bay Pain Care
• North Bay Psychiatric Associates Inc
• North Bay Sleep Medicine Institute, Inc.
• North Coast Faculty Medical Group Inc.
• North Coast Hospitalist, PC
• North Coast Medical Center Inc
• Northern California Center for Well-Being
• Northern California Child Psychology Services Inc.

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; 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.