Active NPI
Elisabeth Bedolla Rocha, M.D.
- Family Medicine Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 150730
- Practice address
- 3883 Airway Dr Ste 202
Santa Rosa, CA 95403-1671 - Phone
- (707) 303-3600
- NPI assigned
- Mar 22, 2016
- Last updated
- Oct 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 150730 | CA | Primary |
Addresses
Primary practice location
3883 Airway Dr Ste 202
Santa Rosa, CA 95403-1671
Mailing address
PO Box 1870
Watsonville, CA 95077-1870
Phone (831) 728-0222
Other practice location 1
3569 Round Barn Cir Ste 200
Santa Rosa, CA 95403-5781
Phone (707) 583-8800
Other names 1
- Elisabeth Rocha Escobar
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 Washington School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
204 E Beach St
Watsonville, CA 95076-4809
Phone (831) 728-8250
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150730 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salud Para la Gente | Current | Accepting new patients | |
| Salud Para la Gente | Current | Accepting new patients | |
| Salud Para la Gente | Current | Accepting new patients | |
| Sutter West Bay Medical Foundation | Family Medicine | Past | Accepting new patients |
| Salud Para la Gente | Past | Accepting new patients |
Locations
195 Aviation Way
Ste 200
Watsonville, CA 95076
204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413
45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588
Interoperability endpoints
- elisabeth.bedollarocha.p1@direct.scihp.nextgenshare.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1730169756
-
dba Beach Flats Health Center
- Federally Qualified Health Center (FQHC)
- Santa Cruz, CA
- NPI 1356540587
-
dba Seaside Community Health Center
- Federally Qualified Health Center (FQHC)
- Seaside, CA
- NPI 1700142544
-
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1629269618
-
dba Sutter Pacific Medical Foundation
- Family Medicine Physician
- San Francisco, CA
- NPI 1104852789
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Bridge Home Health
- Home Health Agency
- Salinas, CA
- NPI 1396378709
-
dba Watsonville Community Hospital
- General Acute Care Hospital
- Watsonville, CA
- NPI 1619607488
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1962864710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1870",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950771870",
"telephone_number": "831-728-0222",
"fax_number": "831-707-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3883 AIRWAY DR STE 202",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954031671",
"telephone_number": "707-303-3600"
}
],
"practiceLocations": [
{
"address_1": "3569 Round Barn Cir Ste 200",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954035781",
"country_code": "US",
"telephone_number": "707-583-8800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BEDOLLA ROCHA",
"first_name": "ELISABETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "150730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISABETH",
"last_name": "ROCHA ESCOBAR",
"code": "1",
"type": "Former 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 Oct 21, 2020; 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.