SAAD SULTAN (NPI# 1023675303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023675303 |
| Entity Type | Individual |
| Full Name | SAAD SULTAN |
| Credential | PHARMD |
| Practice Address |
1165 Montgomery Dr Santa Rosa CA 95405-4801 |
| Mailing Address |
2408 Tedeschi Dr Santa Rosa CA 95403-4207 |
| Practice Telephone | 7075255380 |
| Mailing Telephone | 7072303468 |
| Enumeration Date | 2019-05-22 |
| Last Update Date | 2019-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 64647 | CA | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BOP | 64647 | 01 |
| Street Address |
1165 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336149749 | Rudy Y Santos | Internal Medicine | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2005-07-28 |
| 1376144543 | Brandi Marie Peroney | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 | 2020-11-04 |
| 1366067449 | Susann Mischke | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-06-14 |
| 1750916433 | Cassondra Yvette Hawkins | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-03-03 |
| 1780226001 | Christian Michael Weeber | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-10-09 |
| 1952953093 | Renee Mckenna | Dietitian, Registered | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-07-09 |
| 1013470640 | Sonoe M Oft | Occupational Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-04-10 |
| 1184181281 | Andrew Sonu Kim | Physical Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-02-25 |
| 1073098000 | Samantha Ashley Stewart | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2018-09-25 |
| 1619404431 | Atoosa Molanazadeh | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083230486 | Lizett Camacho | Counselor | 145o Neotomas Avenue Suite 200, Santa Rosa, CA 95405 | 2020-06-22 |
| 1346768918 | Ingrid Tsong | Student in an Organized Health Care Education/Training Program | 3447 Summerfield Road, Santa Rosa, CA 95405 | 2017-09-05 |
| 1275051898 | Jessica Peters Malmberg | Student in an Organized Health Care Education/Training Program | 2447 Summerfield Rd, Santa Rosa, CA 95405 | 2017-09-04 |
| 1306246772 | Kirsten Eckert | Advanced Practice Midwife | 500 Doyle Park Dr Suite 103, Santa Rosa, CA 95405 | 2014-09-03 |
| 1982034294 | Mohammad Reza Saeidi | Dentist | 1820 Sonoma Ave Ste 90a, Santa Rosa, CA 95405 | 2013-11-22 |
| 1851631642 | Debi M. Emmons | Marriage & Family Therapist | 2447 Summerfield Dr, Social Advocates for Youth, Santa Rosa, CA 95405 | 2013-02-15 |
| 1841549979 | Karie Louise Klim | Marriage & Family Therapist | 182 Farmers Ln Ste 204, Santa Rosa, CA 95405 | 2012-09-05 |
| 1427314400 | Rachel E. Page | Counselor | 2447 Summerfield Rd., Santa Rosa, CA 95405 | 2012-04-04 |
| 1689991572 | Center for Integral Healing Inc. | Community Health Worker | 182 Farmers Lane, #203, Santa Rosa, CA 95405 | 2010-04-30 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| Find all providers in zip 95405 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154939205 | Stephine Ann Golik | Pharmacist | 333 Green Field Cir, Santa Rosa, CA 95409-6106 | 2020-07-15 |
| 1033774187 | Jamie Yeung | Pharmacist | 955 Stony Point Rd, Santa Rosa, CA 95407-7129 | 2019-05-03 |
| 1396234068 | Julie Glassmaker | Pharmacist | 915 Village Ct, Santa Rosa, CA 95405-6759 | 2018-05-08 |
| 1588165518 | Eric Robert Dehner | Pharmacist | 1418 Range Ave Apt 205, Santa Rosa, CA 95401-8901 | 2018-02-25 |
| 1306360599 | Farnaz Kazerooni | Pharmacist | 4659 Quigg Dr Apt 750, Santa Rosa, CA 95409-8310 | 2017-07-28 |
| 1891219275 | Emily Deeann Richards | Pharmacist | 2807 Yulupa Ave Apt 33, Santa Rosa, CA 95405-8637 | 2017-07-27 |
| 1932629730 | Je Hoon Jung | Pharmacist | 4145 Shadow Ln Apt 713, Santa Rosa, CA 95405-5257 | 2017-06-22 |
| 1750814968 | John Frey Jr. | Pharmacist | 1785 S Wright Rd, Santa Rosa, CA 95407-7364 | 2017-04-05 |
| 1679013940 | Dan Nguyen | Pharmacist | 401 Bicentennial Way, Mob 1, 1 St Floor Pharmacy, Santa Rosa, CA 95403-2149 | 2017-03-06 |
| 1740731678 | Phoua Diane Vang | Pharmacist | 1002 Jennings Ave, Apt 208, Santa Rosa, CA 95401-4293 | 2016-10-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95405 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.