SANTA ROSA CARDIAC IMAGING (NPI# 1154523447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154523447 |
| Entity Type | Organization |
| Organization Name | SANTA ROSA CARDIAC IMAGING |
| Practice Address |
1111 Sonoma Ave Suite 108 Santa Rosa CA 95405-4819 |
| Mailing Address |
500 Doyle Park Dr Suite 205 Santa Rosa CA 95405-4558 |
| Practice Telephone | 7076360190 |
| Practice Fax Number | 7076360220 |
| Mailing Telephone | 7075278444 |
| Mailing Fax Number | 7075271071 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JAN E CARTEE (BUSINESS MANAGER) |
| Authorized Official Telephone | 7075275155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
CA | Allopathic & Osteopathic Physicians |
| Street Address |
1111 SONOMA AVE SUITE 108 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360479 | Patrick Devlin | Internal Medicine | 1111 Sonoma Ave, Suite 302, Santa Rosa, CA 95405-4819 | 2005-07-21 |
| 1700312493 | Tina Page Afifi | Hearing Instrument Specialist | 1111 Sonoma Ave, Ste 316, Santa Rosa, CA 95405-4819 | 2017-05-02 |
| 1770995748 | Northern California Medical Assoc Inc | Dermatology | 1111 Sonoma Ave, Ste 202, Santa Rosa, CA 95405-4819 | 2014-05-27 |
| 1508164948 | Bryan M. Pereira, M.d., P.C. | Neurological Surgery | 1111 Sonoma Ave, Suite # 320, Santa Rosa, CA 95405 | 2011-03-09 |
| 1952603284 | Barry Neil Silberg, M.d., Inc. | Plastic Surgery | 1111 Sonoma Ave, Suite 210, Santa Rosa, CA 95405-4819 | 2010-11-18 |
| 1427362680 | Sonoma Memory Center Comprehensive Psychology Services Professional Co | Clinical Neuropsychologist | 1111 Sonoma Ave, Ste 322, Santa Rosa, CA 95405-4819 | 2010-07-29 |
| 1609056878 | Jiries Peter Mogannam | Dentist | 1111 Sonoma Ave, Suite #220, Santa Rosa, CA 95405-4819 | 2007-11-05 |
| 1023205713 | Northern California Medical Assoc | Orthopaedic Surgery | 1111 Sonoma Ave, Ste 202, Santa Rosa, CA 95405-4813 | 2007-09-27 |
| 1225158884 | Patrick G Devlin Md A Medical Corporation | Specialist | 1111 Sonoma Ave, Suite 302, Santa Rosa, CA 95405-4819 | 2007-03-29 |
| 1083766331 | Drew Hittenberger and Associates | Orthotic Fitter | 1111 Sonoma Ave, Suite 106, Santa Rosa, CA 95405-4819 | 2007-01-17 |
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| 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 | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418738 | Modern Molecular Imaging LLC | Nuclear Medicine | 7210 N Milburn Ave Ste 106, Fresno, CA 93722-8449 | 2020-02-07 |
| 1588918544 | Birdjandi Md.inc | Nuclear Medicine | 5313 Renaissance Ave, #2, San Diego, CA 92122-5634 | 2012-10-30 |
| 1720250103 | Ram Dandillaya, M.d., Inc. | Nuclear Medicine | 4201 Torrance Blvd Ste 790, Torrance, CA 90503 | 2008-03-26 |
| 1851318810 | Cardiac Imaging Associates A Medical Corporation | Nuclear Medicine | 8581 Santa Monica Blvd # 471, Los Angeles, CA 90069-4120 | 2006-07-16 |
| 1598780116 | Howard Charles Lewin | Nuclear Medicine | 11835 W Olympic Blvd Ste 1150, Los Angeles, CA 90064-5078 | 2006-07-13 |
| 1942256060 | Anu Chirala A Medical Corporation | Nuclear Medicine | 18511 Mission View Dr, Suite 120, Morgan Hill, CA 95037-2974 | 2006-05-26 |
| 1457314262 | Malcolm S Pond Md Inc & Chiayu Chen Md Ptr Cardiology Associates | Nuclear Medicine | 4500 Brockton Ave Ste 203, Riverside, CA 92501-4006 | 2006-04-11 |
| 1699751222 | Evelyn Manalili Musni | Nuclear Medicine | 1860 Mowry Ave Ste 200, Fremont, CA 94538-1730 | 2005-12-15 |
| 1811431182 | Cardiac Imaging Nuclear Associates, A Medical Corporation | Nuclear Medicine | 11835 W Olympic Blvd Ste 1150, Los Angeles, CA 90064-5078 | 2016-12-06 |
| 1801258843 | Karl Sun, M.d. Inc. | Nuclear Medicine | 5555 Reservoir Drive, Suite 112, San Diego, CA 92120 | 2016-03-28 |
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| 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.