NPIMap

Organization Active NPI

County of Sonoma

  • Nurse Practitioner
  • Santa Rosa, CA
National Provider Identifier
1912647694
Registry record updated Mar 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
COUNTY OF SONOMA
Practice address
1450 Neotomas Ave Ste 200
Santa Rosa, CA 95405-7574
Phone
(707) 565-7846
NPI assigned
Mar 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2022

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

Authorized official

Name
Ruby Zhang
Title
Revenue Manager
Phone
(707) 565-7846

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

1450 Neotomas Ave Ste 200
Santa Rosa, CA 95405-7574

Mailing address

1450 Neotomas Ave Ste 200
Santa Rosa, CA 95405-7574
Phone (707) 565-7846

Other names 1

  • Fee for Service Mixed Specialty Group Other name

National Provider Directory

National Provider Directory
Tax ID family
Community Hospital of61 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 16

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648598400000",
    "number": "1912647694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 NEOTOMAS AVE STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057574",
            "telephone_number": "707-565-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 NEOTOMAS AVE STE 200",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057574",
            "telephone_number": "707-565-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SONOMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-30",
        "last_updated": "2022-03-30",
        "certification_date": "2022-03-30",
        "status": "A",
        "authorized_official_last_name": "ZHANG",
        "authorized_official_first_name": "RUBY",
        "authorized_official_title_or_position": "REVENUE MANAGER",
        "authorized_official_telephone_number": "707-565-7846"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fee for Service Mixed Specialty Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Mar 30, 2022; 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.