JON STERNGOLD (NPI# 1265664866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265664866 |
| Entity Type | Individual |
| Full Name | JON STERNGOLD |
| Credential | MD |
| Practice Address |
5480 Diane Way Santa Rosa CA 95409-5552 |
| Practice Telephone | 7075865555 |
| Mailing Telephone | 7075865555 |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | G27300 | CA | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | GFE27300 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
5480 DIANE WAY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-5552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568005205 | Angela Tejeda | Counselor | 35555 Sonoma Hwy, Santa Rosa, CA 95409 | 2019-10-25 |
| 1609335314 | Heidi Diebel | Marriage & Family Therapist | 9291 Oak Trail Cir, Santa Rosa, CA 95409 | 2019-03-13 |
| 1427525328 | Christopher William Schouest | Behavioral Analyst | 5424 Sharon St., Santa Rosa, CA 95409 | 2018-10-29 |
| 1194178756 | Ana Ceniceros | Registered Nurse | 7425 Los Guilucos Rd, Santa Rosa, CA 95409 | 2016-07-19 |
| 1669842878 | Kimberly Harris | Counselor | 7425 Los Guilicos Rd., Dept. H, Santa Rosa, CA 95409 | 2015-09-30 |
| 1568884849 | Christopher Cincotta | Counselor | 540 Middle Rincon Road, Santa Rosa, CA 95409 | 2014-01-06 |
| 1104186626 | Gina Ruth Sarpy | Marriage & Family Therapist | 7425 Los Guilicos Rd, Dept. H, Santa Rosa, CA 95409 | 2012-05-17 |
| 1467745950 | Courtney King | Family Medicine | 4702 Starbuck Ave, Santa Rosa, CA 95409 | 2011-05-17 |
| 1427351162 | Robert E Richardson Md Professional Corp. | Surgery | 1812 Happy Valley Road, Santa Rosa, CA 95409 | 2010-12-20 |
| 1497063564 | Edmundo Simon Martinez IIi IIi | Occupational Therapist | 5555 Montgomery Dr., Santa Rosa, CA 95409 | 2010-09-22 |
| Find all providers in zip 95409 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023352143 | Robert Torin Jaffe | General Practice | 3000 Cleveland Ave Ste 210, Santa Rosa, CA 95403-2117 | 2012-11-15 |
| 1235229006 | Shiroko Liles Sokitch | General Practice | 3471 Regional Pkwy Ste D, Santa Rosa, CA 95403-8269 | 2006-10-13 |
| 1619086246 | Zuo Fen Hauf | General Practice | 1580 Sebastopol Rd, Buliding A, Santa Rosa, CA 95407-6824 | 2006-08-29 |
| 1508850884 | James Leroy Thomson | General Practice | 1212 Farmers Ln, Santa Rosa, CA 95405-6747 | 2005-09-01 |
| 1720120116 | Sutter Medical Group of The Redwoods | General Practice | 4700 Hoen Ave, Santa Rosa, CA 95405-7824 | 2007-02-13 |
| 1548314446 | Robert Bruce Dozor | General Practice | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-22 |
| 1184778094 | Ellen Barnett | General Practice | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-22 |
| 1750435624 | Integrative Medical Clinic of Santa Rosa, A Professional Corporation | General Practice | 175 Concourse Blvd, Santa Rosa, CA 95403-8217 | 2007-01-22 |
| 1073689527 | Michael Anthony Klaper | General Practice | 1551 Pacific Ave, Santa Rosa, CA 95404-3568 | 2006-11-27 |
| 1205879681 | Robert P Heckey | General Practice | 4700 Hoen Ave, Santa Rosa, CA 95405 | 2006-06-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
Please comment or provide details below to improve the information on JON STERNGOLD.
| 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.