| Santa Rosa Community Health Centers | |
|
3569 Round Barn Circle Santa Rosa CA 95403-5781 | |
| (707) 303-3600 | |
| (707) 303-3635 |
| Full Name | Santa Rosa Community Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 3569 Round Barn Circle, Santa Rosa, California |
| Authorized Official Name and Position | Gabriela Bernal-leroi (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7073033600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Rosa Community Health Centers 3569 Round Barn Circle Santa Rosa CA 95403-5781 Ph: (707) 303-3600 | Santa Rosa Community Health Centers 3569 Round Barn Circle Santa Rosa CA 95403-5781 Ph: (707) 303-3600 |
| NPI Number | 1578631172 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 12/09/2022 |
| Medicare PECOS PAC ID | 0345130423 |
|---|---|
| Medicare Enrollment ID | O20040319001444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578631172 | NPI | - | NPPES |
| FHC71099F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 550000087 (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000087 (California) | Primary |
| Provider Name | James R Kahn |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1316030224 PECOS PAC ID: 0345144630 Enrollment ID: I20031119000785 |
| Provider Name | Patricia G Padilla-noah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063584894 PECOS PAC ID: 7315840147 Enrollment ID: I20040129000674 |
| Provider Name | Anne Margaret French |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528141587 PECOS PAC ID: 2163314105 Enrollment ID: I20040325001405 |
| Provider Name | Uyen Ly |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700889128 PECOS PAC ID: 3971581810 Enrollment ID: I20040708000807 |
| Provider Name | Suellen Eschenbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255414009 PECOS PAC ID: 3274591912 Enrollment ID: I20041228000361 |
| Provider Name | Barbara A Sinclair |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154430890 PECOS PAC ID: 5496700486 Enrollment ID: I20050311000912 |
| Provider Name | David Schneider |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104885672 PECOS PAC ID: 3577591643 Enrollment ID: I20050729000810 |
| Provider Name | Carla P Longchamp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972544948 PECOS PAC ID: 8729003942 Enrollment ID: I20051006000906 |
| Provider Name | Tabitha Doniach |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952344616 PECOS PAC ID: 2264459197 Enrollment ID: I20051028001011 |
| Provider Name | Tara D Scott |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528023835 PECOS PAC ID: 0345267290 Enrollment ID: I20051029000198 |
| Provider Name | Michael C Shulkin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790893824 PECOS PAC ID: 0042225674 Enrollment ID: I20060220000065 |
| Provider Name | Christine Louise Martin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871685370 PECOS PAC ID: 4284632779 Enrollment ID: I20061116000337 |
| Provider Name | Daniel Toub |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861540486 PECOS PAC ID: 0648344325 Enrollment ID: I20080729000443 |
| Provider Name | Kevin M Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619186764 PECOS PAC ID: 9133284250 Enrollment ID: I20090224000350 |
| Provider Name | Laurence Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700050200 PECOS PAC ID: 5991861908 Enrollment ID: I20090226000555 |
| Provider Name | Benjamin Richard Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568515112 PECOS PAC ID: 7214032184 Enrollment ID: I20090305000348 |
| Provider Name | Joseph Matel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871792382 PECOS PAC ID: 9638236573 Enrollment ID: I20090320000499 |
| Provider Name | Fasih A Hameed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417083031 PECOS PAC ID: 5991850877 Enrollment ID: I20090827000784 |
| Provider Name | Allan L Bernstein |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1992889067 PECOS PAC ID: 5294873808 Enrollment ID: I20091118000520 |
| Provider Name | Irene Baluyut |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629281662 PECOS PAC ID: 7113066697 Enrollment ID: I20091121000083 |
| Provider Name | Wendy Kohatsu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609973478 PECOS PAC ID: 4587656756 Enrollment ID: I20100121000658 |
| Provider Name | Rhonda Cheryl Berney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174617708 PECOS PAC ID: 7911191887 Enrollment ID: I20101104000736 |
| Provider Name | Joseph I Eichenseher |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164628590 PECOS PAC ID: 3577758473 Enrollment ID: I20101117000163 |
| Provider Name | Brian D Hertz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831273812 PECOS PAC ID: 5496942575 Enrollment ID: I20101215000715 |
| Provider Name | Briant Smith |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639253628 PECOS PAC ID: 2961682000 Enrollment ID: I20110208000114 |
| Provider Name | Paul A Milus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093808859 PECOS PAC ID: 8527249366 Enrollment ID: I20110225000785 |
| Provider Name | Anthony Frank Soria |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346219755 PECOS PAC ID: 4183755507 Enrollment ID: I20120314000336 |
| Provider Name | Maria J Alvarez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356538508 PECOS PAC ID: 3072776855 Enrollment ID: I20120514000560 |
| Provider Name | Judith Hong Groves |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1083949853 PECOS PAC ID: 4082878558 Enrollment ID: I20120613000221 |
| Provider Name | Christoph Gelsdorf |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063656908 PECOS PAC ID: 6709033806 Enrollment ID: I20120824000280 |
| Provider Name | Jennifer Fish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619111556 PECOS PAC ID: 3779734108 Enrollment ID: I20121113000352 |
| Provider Name | Christina Yebra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699950618 PECOS PAC ID: 9032361514 Enrollment ID: I20121207000300 |
| Provider Name | Veronica Jordan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043416480 PECOS PAC ID: 1153566377 Enrollment ID: I20130318000203 |
| Provider Name | James Wu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548404494 PECOS PAC ID: 4183869928 Enrollment ID: I20130326000481 |
| Provider Name | Ilka De Gast |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649576851 PECOS PAC ID: 7618192030 Enrollment ID: I20140627000211 |
| Provider Name | Kim D Shippey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497817670 PECOS PAC ID: 5395063937 Enrollment ID: I20150413000253 |
| Provider Name | Allison Danielle Bacon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720254584 PECOS PAC ID: 9032384557 Enrollment ID: I20150421001870 |
| Provider Name | Mia P Tiscareno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316354350 PECOS PAC ID: 3870810328 Enrollment ID: I20160311001609 |
| Provider Name | Eileen Philbin Muldoon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073849162 PECOS PAC ID: 6305989385 Enrollment ID: I20160401000706 |
| Provider Name | Barbara Leigh Vall-spinosa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336121813 PECOS PAC ID: 3577544220 Enrollment ID: I20161027000335 |
| Provider Name | Caitlin Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184904013 PECOS PAC ID: 6608041116 Enrollment ID: I20170105000498 |
| Provider Name | Cynthia N Carbin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376609008 PECOS PAC ID: 8527159110 Enrollment ID: I20170327002433 |
| Provider Name | Douglas Jimenez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154474781 PECOS PAC ID: 7719879899 Enrollment ID: I20170727002656 |
| Provider Name | Jessica A Koenig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083050967 PECOS PAC ID: 4486952017 Enrollment ID: I20171115002887 |
| Provider Name | Brianne Zechlinski Dickey |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1760725394 PECOS PAC ID: 4880913417 Enrollment ID: I20171128002291 |
| Provider Name | Lingjin Meng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730574575 PECOS PAC ID: 3476805037 Enrollment ID: I20181009002190 |
| Provider Name | Hannah Louise Stein Watson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225397375 PECOS PAC ID: 8921230046 Enrollment ID: I20190429001837 |
| Provider Name | Myles Julian Ketchum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093249864 PECOS PAC ID: 1052664307 Enrollment ID: I20200908000789 |
| Provider Name | Erin Elizabeth Bulleit |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639564974 PECOS PAC ID: 0244544948 Enrollment ID: I20201012002716 |
| Provider Name | Charys Hayden-town |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629697883 PECOS PAC ID: 2062822414 Enrollment ID: I20201113001361 |
| Provider Name | Navpreet Sidhu |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043741184 PECOS PAC ID: 8426388794 Enrollment ID: I20201207001071 |
| Provider Name | Alecia Lanette Greenlee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487072922 PECOS PAC ID: 4688977325 Enrollment ID: I20210304002115 |
| Provider Name | Antoinette Jenna Mason |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225534183 PECOS PAC ID: 2769870484 Enrollment ID: I20211029002301 |
| Provider Name | Daniel M Gonzalez |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1861998650 PECOS PAC ID: 2961752365 Enrollment ID: I20220715001691 |
| Provider Name | Sarah B Sands |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407526676 PECOS PAC ID: 7719352178 Enrollment ID: I20230417002462 |
| Provider Name | Alexander W Threlfall |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1669538187 PECOS PAC ID: 6103113857 Enrollment ID: I20230616000446 |
| Provider Name | Jessica Tekla Les |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487898334 PECOS PAC ID: 4486875945 Enrollment ID: I20230710002842 |
| Provider Name | Chloe S Minervini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811562747 PECOS PAC ID: 2163882994 Enrollment ID: I20230712001804 |
| Provider Name | Marie Ann Mulligan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477682896 PECOS PAC ID: 6901055664 Enrollment ID: I20230727003834 |
| Provider Name | Elisa M.d Glubok Gonzalez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346879095 PECOS PAC ID: 4284096025 Enrollment ID: I20230810004238 |
| Provider Name | Willis Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861882847 PECOS PAC ID: 3173934585 Enrollment ID: I20230818000484 |
| Provider Name | Jennifer Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770148108 PECOS PAC ID: 0749697662 Enrollment ID: I20230925002232 |
| Provider Name | Nicole P Fernandes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558997569 PECOS PAC ID: 4284088295 Enrollment ID: I20230925003412 |
| Provider Name | Jennifer Devries |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356961742 PECOS PAC ID: 3476919192 Enrollment ID: I20231002002763 |
| Provider Name | Frances Rosario Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801440136 PECOS PAC ID: 9133574171 Enrollment ID: I20231011003969 |
| Provider Name | Jacklyn Cheng |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306259098 PECOS PAC ID: 2264652015 Enrollment ID: I20231018004042 |
| Provider Name | Jennifer Denise Mendoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154057750 PECOS PAC ID: 3577919497 Enrollment ID: I20231030002192 |
| Provider Name | Renee Teresa Cooper |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972131498 PECOS PAC ID: 7416304381 Enrollment ID: I20231114003669 |
| Provider Name | Kameren Joy Owens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942225156 PECOS PAC ID: 3971518150 Enrollment ID: I20231122001609 |
| Provider Name | Sarah Padua |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1295296002 PECOS PAC ID: 9032443163 Enrollment ID: I20231214000561 |
| Provider Name | Nicole Bayard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154954600 PECOS PAC ID: 8527418763 Enrollment ID: I20231229001200 |
| Provider Name | Veronica I Vega |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891977104 PECOS PAC ID: 1759732712 Enrollment ID: I20240104000796 |
| Provider Name | Alea Catherine Campos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801584966 PECOS PAC ID: 5991148918 Enrollment ID: I20240207000784 |
| Provider Name | Erin Marie Byrn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356125314 PECOS PAC ID: 2062855000 Enrollment ID: I20240207001297 |
| Provider Name | Melissa Anne Winkelhaus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609557149 PECOS PAC ID: 6406299452 Enrollment ID: I20240207001713 |
| Provider Name | Amanda Mae Vergel De Dios |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679069058 PECOS PAC ID: 0941646814 Enrollment ID: I20240313003867 |
| Provider Name | Sahab Danesh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538655279 PECOS PAC ID: 1759761927 Enrollment ID: I20240320004023 |
| Provider Name | Melissa De Asis Deocampo- Escalante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972389948 PECOS PAC ID: 0749628550 Enrollment ID: I20240329000279 |
| Provider Name | Allison Jhin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1760010102 PECOS PAC ID: 0749658136 Enrollment ID: I20240329002075 |
| Provider Name | Stephanie Bamidele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427518844 PECOS PAC ID: 1557709284 Enrollment ID: I20240401001888 |
| Provider Name | Mansi Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831552306 PECOS PAC ID: 6608169081 Enrollment ID: I20240402001002 |
| Provider Name | Stephanie Mayorga |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083145544 PECOS PAC ID: 2062850399 Enrollment ID: I20240405001953 |
| Provider Name | Brandon Cortez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538521828 PECOS PAC ID: 1355770314 Enrollment ID: I20240410002275 |
| Provider Name | Ele Lozares-lewis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881860666 PECOS PAC ID: 5890946149 Enrollment ID: I20240415003020 |
| Provider Name | Casandra Camacho Shotwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669879334 PECOS PAC ID: 6002146818 Enrollment ID: I20240415003590 |
| Provider Name | Kevin Skyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760166144 PECOS PAC ID: 7810336419 Enrollment ID: I20240416001038 |
| Provider Name | Lisa Sara Polon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366879967 PECOS PAC ID: 6305285529 Enrollment ID: I20240419001876 |
| Provider Name | Shayne Marguerite Erwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912679143 PECOS PAC ID: 3173963121 Enrollment ID: I20240424003725 |
| Provider Name | Jill Hutton Davidson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265211155 PECOS PAC ID: 3779923446 Enrollment ID: I20240429000575 |
| Provider Name | Anna Mccoy |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1841911419 PECOS PAC ID: 9638519374 Enrollment ID: I20240429003266 |
| Provider Name | Parker Andrew Duncan Diaz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033434923 PECOS PAC ID: 1850524422 Enrollment ID: I20240503001420 |
| Provider Name | Rebecca Anne Como |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225769524 PECOS PAC ID: 7719327857 Enrollment ID: I20240506004129 |
| Provider Name | Sibylle Maria Margaretha Koenig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285226092 PECOS PAC ID: 3173963253 Enrollment ID: I20240507000935 |
| Provider Name | Carolina Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598477358 PECOS PAC ID: 6800237363 Enrollment ID: I20240515000690 |
| Provider Name | Guille Freschl |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306423694 PECOS PAC ID: 6204277726 Enrollment ID: I20240515003039 |
| Provider Name | Benjamin Robert Zumwalt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952932709 PECOS PAC ID: 7315350493 Enrollment ID: I20240521001965 |
| Provider Name | Kyle Edward Ransom |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013404318 PECOS PAC ID: 2961884416 Enrollment ID: I20240521003772 |
| Provider Name | Natalia Camacho-worms |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447699517 PECOS PAC ID: 7810430774 Enrollment ID: I20240619002090 |
| Provider Name | Liza P Pomerantz |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1104355270 PECOS PAC ID: 5092055897 Enrollment ID: I20240621002930 |
| Provider Name | Stephen Krumland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043691066 PECOS PAC ID: 0840503785 Enrollment ID: I20240628003593 |
| Provider Name | Patricia Kulawiak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487649711 PECOS PAC ID: 1254582638 Enrollment ID: I20240703001399 |
| Provider Name | Jahdel Jules |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851925101 PECOS PAC ID: 2668815986 Enrollment ID: I20240710002193 |
| Provider Name | Reis Tucker-meade |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558863779 PECOS PAC ID: 1254761125 Enrollment ID: I20240712000890 |
| Provider Name | Briga Inanna Mullin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194303198 PECOS PAC ID: 6305381229 Enrollment ID: I20240715003279 |
| Provider Name | Kathleen Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679792485 PECOS PAC ID: 1153560529 Enrollment ID: I20240805001128 |
| Provider Name | Jesse Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558947093 PECOS PAC ID: 1153763412 Enrollment ID: I20240814004900 |
| Provider Name | Thomas Eugene Nocera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598446858 PECOS PAC ID: 9335687862 Enrollment ID: I20240815001857 |
| Provider Name | Diana Zwers |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1285929299 PECOS PAC ID: 3577865153 Enrollment ID: I20240815002671 |
| Provider Name | Anna Craigen Bowen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578141743 PECOS PAC ID: 2961945852 Enrollment ID: I20240816001778 |
| Provider Name | Brittany English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770059750 PECOS PAC ID: 8123358462 Enrollment ID: I20240827003019 |
| Provider Name | Suzanne Watts Dedmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013296326 PECOS PAC ID: 9739310558 Enrollment ID: I20240830001869 |
| Provider Name | Bianka J Aguilar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1033786694 PECOS PAC ID: 5597110411 Enrollment ID: I20240912001396 |
| Provider Name | Arunima Kohli |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316479850 PECOS PAC ID: 0143633222 Enrollment ID: I20241004003381 |
| Provider Name | Talia Kostick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1114423050 PECOS PAC ID: 0143621193 Enrollment ID: I20241011004029 |
| Provider Name | Veronica Decicco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366597346 PECOS PAC ID: 0143463281 Enrollment ID: I20241023001662 |
| Provider Name | Kari Letvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932624657 PECOS PAC ID: 7012323686 Enrollment ID: I20241023004201 |
| Provider Name | Dana Pollack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326877200 PECOS PAC ID: 2668906942 Enrollment ID: I20241108001753 |
| Provider Name | Erin Lund |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790876720 PECOS PAC ID: 0547338519 Enrollment ID: I20241112003196 |
| Provider Name | Corinne Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487974374 PECOS PAC ID: 7517260250 Enrollment ID: I20241114003320 |
| Provider Name | Sajni Persad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518700418 PECOS PAC ID: 2860928314 Enrollment ID: I20241209000844 |
| Provider Name | Elise Mary Gressmann-weaver |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1225547615 PECOS PAC ID: 2365978715 Enrollment ID: I20241209001573 |
| Provider Name | Brenda Verenise Chicas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366272809 PECOS PAC ID: 0547797508 Enrollment ID: I20250102003027 |
| Provider Name | Madison Nichole Foss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386481265 PECOS PAC ID: 5395273569 Enrollment ID: I20250115003343 |
| Provider Name | Daniel Joseph Creegan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326233636 PECOS PAC ID: 1456680412 Enrollment ID: I20250117001684 |
| Provider Name | Catherine Markee Smith |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1689633034 PECOS PAC ID: 8628507449 Enrollment ID: I20250123002806 |
| Provider Name | Tara Budinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831163716 PECOS PAC ID: 4587691472 Enrollment ID: I20250128004661 |
| Provider Name | Andrea Seiffertt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336343920 PECOS PAC ID: 7012140072 Enrollment ID: I20250130002583 |
| Provider Name | Winta Haile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053141952 PECOS PAC ID: 5496284697 Enrollment ID: I20250131002017 |
| Provider Name | Kanha Elizabeth Ram |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447953849 PECOS PAC ID: 0648700435 Enrollment ID: I20250210000094 |
| Provider Name | Miriam Aileen Maloney-mattheisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841038932 PECOS PAC ID: 1355871740 Enrollment ID: I20250214001454 |
| Provider Name | Nisha Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982062311 PECOS PAC ID: 5698191534 Enrollment ID: I20250214002495 |
| Provider Name | Maria Cristina Guzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548525595 PECOS PAC ID: 1355861444 Enrollment ID: I20250219002465 |
| Provider Name | Amy Marie Popplewell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093418493 PECOS PAC ID: 9739609843 Enrollment ID: I20250219003125 |
| Provider Name | Trong Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407232457 PECOS PAC ID: 8123548872 Enrollment ID: I20250225001291 |
| Provider Name | Rika Win Kemp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699505081 PECOS PAC ID: 3577083187 Enrollment ID: I20250226002881 |
| Provider Name | Edward Chio |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1801059811 PECOS PAC ID: 0345568838 Enrollment ID: I20250226003475 |
| Provider Name | Giuliana Di Piazza |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1427582063 PECOS PAC ID: 2264952712 Enrollment ID: I20250227000676 |
| Provider Name | Navrattan Kaur Ranauta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568203628 PECOS PAC ID: 9032639471 Enrollment ID: I20250228000474 |
| Provider Name | Cynthia Hom |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1265641823 PECOS PAC ID: 2567983844 Enrollment ID: I20250303002008 |
| Provider Name | Seleina Bravo Loera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255028999 PECOS PAC ID: 7012438328 Enrollment ID: I20250303002909 |
| Provider Name | Jessica Baisley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1497319222 PECOS PAC ID: 2365887700 Enrollment ID: I20250305003989 |
| Provider Name | Matthew Mayeda |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376122804 PECOS PAC ID: 8527507805 Enrollment ID: I20250306000884 |
| Provider Name | Paulomi A Shah |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679795793 PECOS PAC ID: 7719408574 Enrollment ID: I20250310000925 |
| Provider Name | Carolina Dehesa Rosillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770990491 PECOS PAC ID: 8224352281 Enrollment ID: I20250310002675 |
| Provider Name | Vivian Worn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1073693354 PECOS PAC ID: 7517190283 Enrollment ID: I20250313001617 |
| Provider Name | Pablo Sergio Corona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538998034 PECOS PAC ID: 8527580075 Enrollment ID: I20250313003382 |
Sutter Medical Group Of The Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4725a Hoen Ave, Santa Rosa, CA 95405 Phone: 707-576-3322 | |
Elyse R. Eisenberg, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Farmers Ln, Ste 10, Santa Rosa, CA 95405 Phone: 707-523-3375 Fax: 866-870-0815 | |
Sutter Medical Group Of The Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4750 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-523-2666 Fax: 707-523-3399 | |
Thomas M. Collins Chiropractic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Farmers Ln, Suite 2, Santa Rosa, CA 95405 Phone: 707-566-7396 Fax: 707-566-7398 | |
Vanguard Performance, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2901 Cleveland Ave Ste 202, Santa Rosa, CA 95403 Phone: 707-968-1555 Fax: 844-426-0134 | |
Sonoma County Junior College District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445 Fax: 707-524-1858 | |
County Of Sonoma Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7400 Rancho Los Guilicos Rd, Santa Rosa, CA 95409 Phone: 707-565-8180 Fax: 707-565-8190 |