VETERANS ADMINISTRATION (NPI# 1235230848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235230848 |
| Entity Type | Organization |
| Organization Name | VETERANS ADMINISTRATION |
| Practice Address |
3315 Chanate Rd Ste 1b Santa Rosa CA 95404-1740 |
| Practice Telephone | 7075703800 |
| Practice Fax Number | 7075703860 |
| Mailing Telephone | 7075703800 |
| Mailing Fax Number | 7075703860 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DONALD BLAIR DEAN (STAFF PSYCHIATRIST) |
| Authorized Official Telephone | 7075703800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
C19197 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL BOARD NUMBER | C19197 | 01 |
| CA | DEA NUMBER | AD1405782 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184159725 | Veterans Administration | Psychiatric Unit | 4455 Horizon Hill, San Antonio, TX 78229 | 2017-04-20 |
| 1407380298 | Veterans Administration | Substance Abuse Rehabilitation Facility | 13418 Coram Peak St, San Antonio, TX 78248-1202 | 2017-04-18 |
| 1285994400 | Veterans Administration | General Acute Care Hospital | 1901 Berkeley St., Salt Lake City, UT 84108 | 2012-05-22 |
| 1255698288 | Veterans Administration | Clinic/Center | 7 Lavenham Rd, Novato, CA 94949-6296 | 2012-04-16 |
| 1942450721 | Veterans Administration | Military Hospital | 105 W Maryland Ave, Crewe, VA 23930-1809 | 2008-09-29 |
| 1538289491 | Veterans Administration | Psychiatric Unit | 6390 Cash Mountain Rd, Malvern, AR 72104-9137 | 2007-04-01 |
| 1588752885 | Veterans Administration | Substance Abuse Rehabilitation Facility | 1-h Circle Drive, Perry Point, MD 21902 | 2006-10-11 |
| 1558453571 | Veterans Administration | General Acute Care Hospital | 5516 Vansville Way, Las Vegas, NV 89130-3601 | 2006-09-28 |
| 1518067537 | Veterans Administration | Clinic/Center | 10 Hazelwood Ct, Attleboro, MA 02703-1564 | 2006-09-22 |
| 1356446132 | Veterans Administration | Psychiatric Hospital | Bldg 364 Ave. D, Perry Point, MD 21902 | 2006-09-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | VETERANS ADMINISTRATION MEDICAL CENTER | 500 W Fort St., Boise, ID 83702-4501 |
| New York State Corporations | VETERANS ADMINISTRATION SARATOGA NATIONAL CEMETERY SUPPORT COMMITTEE INC. | 200 Duell Road, Schuylerville, Ny 12871 |
| Street Address |
3315 CHANATE RD STE 1B |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-1740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245444868 | County of Sonoma | Clinic/Center | 2245 Challenger Way Ste 100, Santa Rosa, CA 95407-5418 | 2007-05-10 |
| 1548756489 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 101, Santa Rosa, CA 95407-5421 | 2018-07-03 |
| 1255725313 | Lomi Psychotherapy Clinic | Clinic/Center | 534 B St, Santa Rosa, CA 95401-5211 | 2015-03-26 |
| 1972851277 | Rylist, Inc | Clinic/Center | 923 College Ave, Santa Rosa, CA 95404 | 2012-08-17 |
| 1336353952 | County of Sonoma-department of Health | Clinic/Center | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2007-05-10 |
| 1447396403 | Department of Health Services | Clinic/Center | 3322 Chanate Rd, Santa Rosa, CA 95404-1708 | 2007-01-29 |
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|---|---|---|---|---|
| 1598365652 | Hearts for Sight Foundation | Clinic/Center | 1540 Prospect Ave Apt A, San Gabriel, CA 91776-4484 | 2020-10-28 |
| 1679172290 | Cyti Psychology PC | Clinic/Center | 3025 Calico St, Santee, CA 92071-5678 | 2020-10-23 |
| 1427655810 | An Elegant Sufficiency, A Psychological Corporation | Clinic/Center | 672 W 11th St Ste 354, Tracy, CA 95376-3821 | 2020-10-08 |
| 1184231508 | Rh Community Builders Lp. | Clinic/Center | 1040 N Pleasant Ave, Fresno, CA 93728-2434 | 2020-09-29 |
| 1730795337 | Full Circle Psychotherapy | Clinic/Center | 6741 Sebastopol Ave Ste 110, Sebastopol, CA 95472-3838 | 2020-09-18 |
| 1871108928 | Executive Recovery Group, Inc | Clinic/Center | 77725 Enfield Ln Ste 200, Palm Desert, CA 92211-0468 | 2020-09-14 |
| 1619581337 | Family Tree Psychology Group Inc. | Clinic/Center | 3655 Grand Ave, Oakland, CA 94610-2009 | 2020-09-01 |
| 1306459029 | Lisa Eaton Therapy and Coaching, A Licensed Clinical Social Worker Cor | Clinic/Center | 3014 Lupine, Lake Forest, CA 92630-8439 | 2020-08-24 |
| 1972112712 | County of Kern | Clinic/Center | 316 Kentucky, Bakersfield, CA 93305 | 2020-07-28 |
| 1417566605 | Freedom Family Counseling Group Corp. | Clinic/Center | 190 S Orchard Ave Ste C230, Vacaville, CA 95688-3657 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on VETERANS ADMINISTRATION.
| 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.