COUNTY OF SONOMA (NPI# 1306050828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306050828 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SONOMA |
| Other Organization Name | VALLEY OF THE MOON CHILDREN'S HOME |
| Practice Address |
112 Childrens Cir Santa Rosa CA 95409-6558 |
| Mailing Address |
Po Box 1539 Santa Rosa CA 95402-1539 |
| Practice Telephone | 7075654850 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2017-07-19 |
| Authorized Official Name | JENNIFER PIMENTEL (DEPARTMENT ANALYST - CLAIMS MANAGER) |
| Authorized Official Telephone | 7075654861 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF SONOMA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PROVIDER NUMBER | 49B9 | 01 |
| Other Name | Type Code |
|---|---|
| Valley Of The Moon Children's Home | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120442 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 107 - 108, Santa Rosa, CA 95407-5421 | 2018-07-12 |
| 1093220675 | County of Sonoma | Clinic/Center | 7400 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6540 | 2017-12-05 |
| 1952637027 | County of Sonoma | Clinic/Center | 140 S Cloverdale Blvd, Cloverdale, CA 95425 | 2009-10-26 |
| 1487863866 | County of Sonoma | Clinic/Center | 2227 Capricorn Way, Santa Rosa, CA 95407-5478 | 2007-05-22 |
| 1457567802 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 101, Santa Rosa, CA 95407-5421 | 2007-05-15 |
| 1598979031 | County of Sonoma | Clinic/Center | 810a Grove St, Sonoma, CA 95476-5328 | 2007-05-10 |
| 1245444868 | County of Sonoma | Clinic/Center | 2245 Challenger Way Ste 100, Santa Rosa, CA 95407-5418 | 2007-05-10 |
| 1295949733 | County of Sonoma | Clinic/Center | 5350 Old Redwood Hwy N, Suite 600, Petaluma, CA 94954-1115 | 2007-05-10 |
| 1457498636 | County of Sonoma | Clinic/Center | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2007-01-30 |
| 1629124037 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 107-108, Santa Rosa, CA 95407-5458 | 2007-01-26 |
| Street Address |
112 CHILDRENS CIR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95409-6558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053684175 | Joan Kathleen Risse | Registered Nurse | 112 Childrens Cir, Santa Rosa, CA 95409-6558 | 2012-02-21 |
| 1003107210 | Roxanne Marie Moon | Registered Nurse | 112 Childrens Cir, Santa Rosa, CA 95409-6558 | 2011-04-21 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386120442 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 107 - 108, Santa Rosa, CA 95407-5421 | 2018-07-12 |
| 1356854673 | Sonoma Therapy Network | Clinic/Center | 3438 Mendocino Ave Ste B, Santa Rosa, CA 95403-2275 | 2017-11-08 |
| 1487863866 | County of Sonoma | Clinic/Center | 2227 Capricorn Way, Santa Rosa, CA 95407-5478 | 2007-05-22 |
| 1255547600 | Department of Health Services | Clinic/Center | 415 Humboldt St, Santa Rosa, CA 95404-4214 | 2007-05-15 |
| 1457567802 | County of Sonoma | Clinic/Center | 2235 Challenger Way Ste 101, Santa Rosa, CA 95407-5421 | 2007-05-15 |
| 1407068992 | Department of Health Services | Clinic/Center | 617 W 9th St, Santa Rosa, CA 95401-5438 | 2007-05-04 |
| 1639207103 | Department of Health Services | Clinic/Center | 3400 Chanate Rd, Santa Rosa, CA 95404-1710 | 2007-02-28 |
| 1285120493 | County of Sonoma | Clinic/Center | 2245 Challenger Way Ste 100, Santa Rosa, CA 95407-5418 | 2018-07-11 |
| 1386130599 | County of Sonoma | Clinic/Center | 2227 Capricorn Way Ste 207, Santa Rosa, CA 95407-5486 | 2018-07-11 |
| 1780055897 | Chrysalis Community Counseling Services | Clinic/Center | 1821 4th St, Santa Rosa, CA 95404-3202 | 2015-10-14 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95409 |
Please comment or provide details below to improve the information on COUNTY OF SONOMA.
| 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.