NORCAL HEALTHCONNECT LLC (NPI# 1295342012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295342012 |
| Entity Type | Organization |
| Organization Name | NORCAL HEALTHCONNECT LLC |
| Practice Address |
1375 University St Healdsburg CA 95448-3382 |
| Mailing Address |
1111 Sonoma Ave Santa Rosa CA 95405-4819 |
| Practice Telephone | 7074316500 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-09-25 |
| Authorized Official Name | OLUYEMI ADEYANJU (CORPORATE SECRETARY) |
| Authorized Official Telephone | 9493814728 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| Other Name | Type Code |
|---|---|
| HEALDSBURG HOSPITAL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720695547 | Norcal Healthconnect LLC | Clinic/Center | 1375 University St, Healdsburg, CA 95448-3382 | 2020-09-25 |
| 1861009672 | Norcal Healthconnect LLC | General Acute Care Hospital | 1375 University St, Healdsburg, CA 95448-3382 | 2020-09-25 |
| 1205443025 | Norcal Healthconnect LLC | Skilled Nursing Facility | 1375 University St, Healdsburg, CA 95448-3382 | 2020-09-25 |
| Street Address |
1375 UNIVERSITY ST |
| City | HEALDSBURG |
| State | CA |
| Zip Code | 95448-3382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033179882 | Elizabeth Anne Faulk | Emergency Medicine | 1375 University St, Healdsburg, CA 95448-3382 | 2006-03-24 |
| 1720695547 | Norcal Healthconnect LLC | Clinic/Center | 1375 University St, Healdsburg, CA 95448-3382 | 2020-09-25 |
| 1861009672 | Norcal Healthconnect LLC | General Acute Care Hospital | 1375 University St, Healdsburg, CA 95448-3382 | 2020-09-25 |
| 1205443025 | Norcal Healthconnect LLC | Skilled Nursing Facility | 1375 University St, Healdsburg, CA 95448-3382 | 2020-09-25 |
| 1801402748 | Long Phan | Pharmacist | 1375 University St, Healdsburg, CA 95448-3382 | 2020-09-16 |
| 1730682394 | Rural Physicians Group, PC | Clinic/Center | 1375 University St, Healdsburg, CA 95448-3382 | 2018-03-09 |
| 1497268585 | Kevin Thanh Nguyen | Pharmacist | 1375 University St, Healdsburg, CA 95448-3382 | 2017-11-10 |
| 1710426762 | Stewart Williams | Dietitian, Registered | 1375 University St, Healdsburg, CA 95448-3382 | 2017-02-22 |
| 1912455544 | North Sonoma County Healthcxare District | Clinic/Center | 1375 University St, Healdsburg, CA 95448-3382 | 2016-09-12 |
| 1386042489 | Dr Ghazaleh Bahrami Professional Corporation | Internal Medicine | 1375 University St, Healdsburg, CA 95448-3382 | 2014-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891342002 | Linda Lazzar Friend | Marriage & Family Therapist | 2800 Hilltop Rd., Healdsburg, CA 95448 | 2019-08-22 |
| 1184124513 | Pacifica Sl Grove Street Lp | Alzheimer Center (Dementia Center) | 725 Grove Street, Healdsburg, CA 95448 | 2018-02-12 |
| 1073049284 | Jennifer Gnass | Counselor | 536 March Ave, Healdsburg, CA 95448 | 2017-05-08 |
| 1538523105 | Zormeier Cosmetic Surgery & Longevity Center | Plastic Surgery | 431 East Street Ste B, Healdsburg, CA 95448 | 2016-04-11 |
| 1619180700 | Sharron Levinger Rudell | Marriage & Family Therapist | 459 Hudson St, Healdsburg, CA 95448 | 2007-05-07 |
| 1932224490 | Stanley Winstonj Jacobs | Specialist | 145 Foss Creek Cir., Healdsburg, CA 95448 | 2007-03-20 |
| 1821126491 | Eric Culbertson | Surgery | 145 Foss Creek Cir, Healdsburg, CA 95448 | 2007-03-02 |
| 1265508790 | Stanley D Davis | Psychiatry & Neurology | 451 A March Ave, Healdsburg, CA 95448 | 2006-11-27 |
| 1306910559 | Christine Naber | Clinical Neuropsychologist | 455 March Ave Ste A, Healdsburg, CA 95448 | 2006-11-20 |
| 1700978947 | Marc Alexander | Dentist | 125 Grant Street, Healdsburg, CA 95448 | 2006-09-28 |
| Find all providers in zip 95448 | ||||
| Taxonomy Code | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043308539 | North Sonoma County Health Care District | Medicare Defined Swing Bed Unit | 1375 University St, Healdsburg, CA 95448-3382 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588198402 | Kaiser Permanente | Medicare Defined Swing Bed Unit | 9945 Valgrande Way, Elk Grove, CA 95757-3004 | 2017-04-18 |
| 1124473210 | Vi | Medicare Defined Swing Bed Unit | 10513 Zenor Ln Unit 34, San Diego, CA 92127-6810 | 2016-04-26 |
| 1023495793 | Doc Vk Corp | Medicare Defined Swing Bed Unit | 6779 Sandalwood Dr, Simi Valley, CA 93063-5802 | 2015-05-01 |
| 1881922110 | Southern Inyo Hospical | Medicare Defined Swing Bed Unit | 501 E. Locust St., Lone Pine, CA 93545-0000 | 2009-11-24 |
| 1780829408 | Kaiser Permanente | Medicare Defined Swing Bed Unit | 550 Naples St, San Francisco, CA 94112-2824 | 2008-12-09 |
| 1598932436 | N P Coller Holding | Medicare Defined Swing Bed Unit | 7616 Girard Ave, La Jolla, CA 92037-4420 | 2008-05-09 |
| 1366658239 | Rady Children's Hospital | Medicare Defined Swing Bed Unit | 4690 Coconino Way, San Diego, CA 92117-2612 | 2007-05-15 |
| 1700936309 | Ucd-som Neurological Surgery | Medicare Defined Swing Bed Unit | 2315 Stockton Boulevard, Suite 3740 Acc, Sacramento, CA 95817-2201 | 2007-01-12 |
| 1154431096 | Va Greater La Healthcare System | Medicare Defined Swing Bed Unit | 1825 N Kingsley Dr, Los Angeles, CA 90027-3762 | 2006-08-30 |
| 1487669032 | Last Frontier Healthcare District | Medicare Defined Swing Bed Unit | 1111 N Nagle St, Alturas, CA 96101-3840 | 2006-07-30 |
| Find all providers with the same taxonomy | ||||
| City | HEALDSBURG |
| Zip Code | 95448 |
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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.