Oak Tree Ranch Senior Assisted Living

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

Legal business name

OAK TREE RANCH SENIOR ASSISTED LIVING

Practice address

1482 Olivet Rd
Santa Rosa, CA 95401-3811

Phone

(707) 571-1122

NPI assigned

Aug 29, 2025

Organization subpart

No

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

Authorized official

Name

Pamela JohnsonNPI 1619860020

Title

Owner/Administrator

Phone

(707) 291-5756

Specialties & licenses 1

Addresses

Other names 1

• Oak Tree Ranch Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Johnson

  • Custodial Care Facility
  • Santa Rosa, CA
  • NPI 1619860020
  NPD Authorized official

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

{
    "created_epoch": "1756425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1912886342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 OLIVET RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954013811",
            "telephone_number": "707-571-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1482 OLIVET RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954013811",
            "telephone_number": "707-571-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK TREE RANCH SENIOR ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-29",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "707-291-5756"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Tree Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Joseph O'Neal, D.C.
• Laura O'Neal, CMT
• Kathryn L. O'Niell
• Steven G. O'Rourke
• Ellen O'Toole, PH.D.
• Andrea Oakes, RN
• Larry Martin Oakes, PTLA, DPT
• Robert Sheldon Oberti
• Carla Rae Obrien-Jay
• Christopher Obrien

• Custodial Care Facility in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Custodial Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; 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.