Institute for Health Management Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

G022984 Issued in CA

Legal business name

INSTITUTE FOR HEALTH MANAGEMENT INC

Practice address

715 Southpoint Blvd
Suite C
Petaluma, CA 94954-6835

Phone

(707) 778-6019

Fax

(707) 778-6068

NPI assigned

May 3, 2007

Last updated

Apr 13, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Park, MD

Title

Medical Director

Phone

(707) 778-6019

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Allen Chappell, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Petaluma, CA
  • NPI 1598732463
  Medicare reassignment NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1932321387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 SOUTHPOINT BLVD",
            "address_2": "SUITE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546835",
            "telephone_number": "707-778-6019",
            "fax_number": "707-778-6068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 SOUTHPOINT BLVD",
            "address_2": "SUITE C",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949546835",
            "telephone_number": "707-778-6019",
            "fax_number": "707-778-6068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR HEALTH MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "707-778-6019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "G022984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Scott Imrie
• Roxana Infante
• Infinity Wellness Center, a Professional Medical Corporation
• Christina Marie Ingenito, L.C.S.W.
• Jared Andrew Ining, DDS
• Arezu Iranipour, PPS
• Valerie Iriks
• Island Heart Transport LLC
• Judy B Iwanier, MSW, LCSW
• Jason Anton Jaber, DDS

• Nephrology Physician in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.