DR. RUDY Y SANTOS (NPI# 1336149749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336149749 |
| Entity Type | Individual |
| Full Name | DR. RUDY Y SANTOS |
| Credential | MD |
| Practice Address |
1165 Montgomery Dr Santa Rosa CA 95405-4801 |
| Mailing Address |
1007 W College Ave #292 Santa Rosa CA 95401-5046 |
| Practice Telephone | 7078884415 |
| Mailing Telephone | 7078884415 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2008-05-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MD418624 | PA | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | C53119 | CA | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD418624 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | LICENSE | MD418624 | 01 |
| PA | 0018871270003 | 05 | |
| CA | CA LICENSE | C53119 | 01 |
| Street Address |
1165 MONTGOMERY DR |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95405-4801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376144543 | Brandi Marie Peroney | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4897 | 2020-11-04 |
| 1366067449 | Susann Mischke | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-06-14 |
| 1750916433 | Cassondra Yvette Hawkins | Nurse Practitioner | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2020-03-03 |
| 1780226001 | Christian Michael Weeber | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-10-09 |
| 1952953093 | Renee Mckenna | Dietitian, Registered | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-07-09 |
| 1023675303 | Saad Sultan | Pharmacist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-05-22 |
| 1013470640 | Sonoe M Oft | Occupational Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-04-10 |
| 1184181281 | Andrew Sonu Kim | Physical Therapist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2019-02-25 |
| 1073098000 | Samantha Ashley Stewart | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2018-09-25 |
| 1619404431 | Atoosa Molanazadeh | Physician Assistant | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2017-05-11 |
| Find all providers in the same location | ||||
| 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 | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669639985 | Tyler Mark Nixon | Hospitalist | 122 Calistoga Rd # 361, Santa Rosa, CA 95409-3702 | 2008-05-22 |
| 1841687928 | Punita Somnath Pandya | Hospitalist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2015-04-16 |
| 1508115684 | Golden Gate Hospitalists | Hospitalist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2012-09-05 |
| 1356584312 | Karolin Ovrahim Reed | Hospitalist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2009-04-07 |
| 1245486711 | Medical Consultants of America A Professional Corporation | Hospitalist | 1165 Montgomery Dr, Hospitalist Department, Santa Rosa, CA 95405-4801 | 2008-08-15 |
| 1447448584 | Aynna Yee M.d. Inc | Hospitalist | 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 | 2007-10-12 |
| 1073665295 | Martin P. Ananias | Hospitalist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2007-01-17 |
| 1265582084 | Daciana I. Iancu | Hospitalist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2007-01-12 |
| 1548332349 | Deborah D. Lawson | Hospitalist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-11-15 |
| 1316026453 | Jennifer J. Schneider | Hospitalist | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2006-11-02 |
| Find all providers in SANTA ROSA | ||||
| 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.