Truemed, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TRUEMED, INC

Doing business as

TrueMed North Bay

Practice address

2460 W 3Rd St Ste 255
Santa Rosa, CA 95401-6404

Phone

(707) 615-6944

Fax

(707) 615-6945

NPI assigned

Feb 24, 2022

Last updated

Sep 27, 2023By 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

Petr Kozakov

Title

Administrator

Phone

(650) 588-8331

Specialties & licenses 1

Addresses

Other names 1

• TrueMed North Bay Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1962158295. Details of each certification follow.

• CCN 757859 Home health agency · Active · Details

Home health agency certification: CCN 757859

Legal name

TRUEMED, INC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 28, 2025

Last certification

Jan 30, 2025

Organization structure

CorporationProprietary

Incorporated

Nov 8, 2010 in CA

Enrollment address

2460 W 3Rd St
Ste 255
Santa Rosa, CA 95401-6404

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Truemed, Inc

  • Home Health Agency
  • South San Francisco, CA
  • NPI 1962707406

  9739360207

  Same PAC ID

Listed as

Truemed North BayCCN 757859 · All quality measures

Ownership

-

Certified

Feb 28, 2025

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Tax ID family

Truemed2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Truemed, Inc

  • Home Health Agency
  • South San Francisco, CA
  • NPI 1962707406
  NPD tax ID

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695772800000",
    "number": "1962158295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 OYSTER POINT BLVD STE 201",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801918",
            "telephone_number": "650-588-8331",
            "fax_number": "650-316-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 W 3RD ST STE 255",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954016404",
            "telephone_number": "707-615-6944",
            "fax_number": "707-615-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRUEMED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A",
        "authorized_official_last_name": "KOZAKOV",
        "authorized_official_first_name": "PETR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "650-588-8331"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TrueMed North Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juliann Trout, PHARM D
• Jason Trowbridge, MFT
• Dori J Truax, RI
• Logan Reid Trudell, RN, BSN
• Karen Lee True-Samson, LCSW
• Femke Anna Maria Truijen
• Anacani Trujillo, RN
• Khanh Yen Truong, M.D.
• Yeh-Kuang Tsai, MD
• Tom Tseng, O.D.

• Home Health Agency in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.