Active NPI
Robert Isaacs, MD
- Family Medicine Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G75679
- Practice address
- 1287 Fulton Rd
Santa Rosa, CA 95401-4923 - Phone
- (707) 888-5808
- Fax
- (707) 577-8315
- NPI assigned
- Jul 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18222 | SC | |
| Family Medicine Physician | 207Q00000X | G75679 | CA | Primary |
Addresses
Primary practice location
1287 Fulton Rd
Santa Rosa, CA 95401-4923
Mailing address
PO Box 1770
La Mesa, CA 91944-1770
Phone (707) 888-5808
Other practice location 1
4053 Lone Tree Way
Antioch, CA 94531-6210
Phone (925) 756-0849
Other practice location 2
2500 Milvia St
Berkeley, CA 94704-2636
Phone (510) 204-5600
Other practice location 3
20101 Lake Chabot Rd Fl 1
Castro Valley, CA 94546-5305
Phone (510) 886-3400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G75679 | Other | CA | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, San Diego School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1287 Fulton Rd
Santa Rosa, CA 95401-4923
Phone (707) 595-3133
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G75679 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jon Sterngold MD Inc a Professional Corporation | Current | Accepting new patients | |
| Regents of the University of Ca | Past | Accepting new patients |
Locations
1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Santa Rosa, CA
- NPI 1811490899
-
- Multi-Specialty Clinic/Center
- Colusa, CA
- NPI 1245210889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556064000000",
"number": "1912927286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1770",
"city": "LA MESA",
"state": "CA",
"postal_code": "919441770",
"telephone_number": "707-888-5808",
"fax_number": "707-577-8315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1287 FULTON RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014923",
"telephone_number": "707-888-5808",
"fax_number": "707-577-8315"
}
],
"practiceLocations": [
{
"address_1": "4053 Lone Tree Way",
"address_purpose": "LOCATION",
"city": "Antioch",
"state": "CA",
"postal_code": "945316210",
"country_code": "US",
"telephone_number": "925-756-0849",
"fax_number": "925-757-0849",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Milvia St",
"address_purpose": "LOCATION",
"city": "Berkeley",
"state": "CA",
"postal_code": "947042636",
"country_code": "US",
"telephone_number": "510-204-5600",
"fax_number": "510-204-5462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20101 Lake Chabot Rd Fl 1",
"address_purpose": "LOCATION",
"city": "Castro Valley",
"state": "CA",
"postal_code": "945465305",
"country_code": "US",
"telephone_number": "510-886-3400",
"fax_number": "510-866-8466",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISAACS",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2019-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "18222",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G75679",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "G75679",
"state": "CA"
}
],
"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 Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.