DEPARTMENT OF HEALTH SERVICES (NPI# 1376696914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376696914 |
| Entity Type | Organization |
| Organization Name | DEPARTMENT OF HEALTH SERVICES |
| Practice Address |
2665a Dutton Mdw Santa Rosa CA 95407-7730 |
| Practice Telephone | 7075654518 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DIANA L STORNETTA (ACCOUNTANT III COMPLIANCE) |
| Authorized Official Telephone | 7075654782 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295167070 | Department of Health Services | Clinic/Center | 810 Grove St, Sonoma, CA 95476-5328 | 2013-08-05 |
| 1255547600 | Department of Health Services | Clinic/Center | 415 Humboldt St, Santa Rosa, CA 95404-4214 | 2007-05-15 |
| 1376757989 | Department of Health Services | Clinic/Center | 7425 Rancho Los Guilicos Rd, Santa Rosa, CA 95409-6519 | 2007-05-10 |
| 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 |
| 1205980547 | Department of Health Services | Clinic/Center | 415 Riley Street, Santa Rosa, CA 95404 | 2007-01-23 |
| 1841344181 | Department of Health Services | Substance Abuse Rehabilitation Facility | 1430 Neotomas Ave, Santa Rosa, CA 95405-7575 | 2007-01-23 |
| 1114071453 | Department of Health Services | Clinic/Center | 155 N. Pythian Road, Santa Rosa, CA 95409 | 2007-01-23 |
| 1043668023 | Department of Health Services | Clinic/Center | 450 Bauchet St, Msb ----room E873, Los Angeles, CA 90012-2907 | 2016-05-31 |
| 1386076156 | Department of Health Services | Clinic/Center | 100 W 3rd St, Cloverdale, CA 95425-3204 | 2013-08-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH SERVICES | 50 Douglas Dr Ste 310a, Martinez, CA 94553-4003 |
| System for Award Management (SAM) Entities | DEPARTMENT OF HEALTH SERVICES/CLINICS | 4600 Broadway Ste 2500, Sacramento, CA 95820-1527 |
| Street Address |
2665A DUTTON MDW |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95407-7730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699167858 | Ruth Fotouhi | Occupational Therapist | 2665a Dutton Mdw, Santa Rosa, CA 95407-7730 | 2015-02-25 |
| 1316379076 | Norma Elaine Doyle | Registered Nurse | 2665a Dutton Mdw, Santa Rosa, CA 95407-7730 | 2013-08-05 |
| 1174869226 | Kathleen Anne Nishimoto | Physical Therapist | 2665a Dutton Mdw, Santa Rosa, CA 95407-7730 | 2012-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100477 | Charrise Reece | Case Management | 935 S Davis, Santa Rosa, CA 95407 | 2020-10-07 |
| 1629687256 | Suzel Anne-marie Deer | Registered Nurse | 1017 Stony Point Rd, Santa Rosa, CA 95407 | 2020-07-29 |
| 1285152884 | Mercedes Zipperle | Specialist/Technologist | 638 Athena Pl, Santa Rosa, CA 95407 | 2017-09-03 |
| 1235664988 | Priceless Transport Care LLC | Non-emergency Medical Transport (VAN) | 661 Powderhorn Ave, Santa Rosa, CA 95407 | 2017-05-01 |
| 1780139634 | Robin Shank Sanderson | Nurse Practitioner | 751 Lombardi, Santa Rosa, CA 95407 | 2016-08-22 |
| 1205207321 | Flaman Craig Mccloud Jr. | Counselor | 440 Arrowood Dr., Santa Rosa, CA 95407 | 2015-10-15 |
| 1548679400 | Jill Bauer | Dental Hygienist | 2740 Ironstone Circle, Santa Rosa, CA 95407 | 2014-08-05 |
| 1922413673 | Aurora Alejandra Gomez Selpides | Family Medicine | 2240 Mercury Way, Santa Rosa, CA 95407 | 2014-06-20 |
| 1508159955 | Luis Angel Gonzalez | Counselor | 1202 Apollo Way, Santa Rosa, CA 95407 | 2011-05-18 |
| 1326286295 | Kelly Alexis Rathmann | Social Worker | 3650 Standish Avenue, Santa Rosa, CA 95407 | 2009-01-29 |
| Find all providers in zip 95407 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134264039 | Occupational Health Centers of California, A Medical Corporation | Clinic/Center | 1221 North Dutton Ave., Santa Rosa, CA 95401 | 2007-02-20 |
| 1053422485 | Ted Ellquist, Pt | Clinic/Center | 2466 Murdock Dr, Santa Rosa, CA 95404-2207 | 2006-08-31 |
| 1548277437 | Physiotherapy Associates Inc | Clinic/Center | 432 Aviation Blvd, Santa Rosa, CA 95403-1069 | 2006-08-02 |
| 1356389001 | Peltz and Associates Physical Therapy Inc | Clinic/Center | 140 Wikiup Drive, Santa Rosa, CA 95403 | 2006-06-03 |
| 1982689675 | Stithem & Johnson Physical Therapy, Inc. | Clinic/Center | 795 Farmers Ln, Santa Rosa, CA 95405-6718 | 2005-12-14 |
| 1366446916 | Novacare Outpatient Rehabilitation of California Inc | Clinic/Center | 1211 N Dutton Ave, Ste G, Santa Rosa, CA 95401-4638 | 2005-06-10 |
| 1174910962 | Naomi Kimball Physical Therapy | Clinic/Center | 2425 Cleveland Ave, Suite 135, Santa Rosa, CA 95403-2990 | 2015-04-20 |
| 1831386838 | Stithem & Johnson Physical Therapy Inc. | Clinic/Center | 6574 Oakmont Dr, Ste A, Santa Rosa, CA 95409-5958 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051839 | The Pelvic Model Physical Therapy, Inc. | Clinic/Center | 3761 Vinton Ave Apt 6, Los Angeles, CA 90034-5781 | 2020-10-18 |
| 1932707957 | Body In Motion Therapy, P.c | Clinic/Center | 1111 S Grand Ave Apt 708, Los Angeles, CA 90015-2169 | 2020-10-12 |
| 1992303275 | Vw Physical Therapy, Inc. | Clinic/Center | 100 Saybrook Ave, Vacaville, CA 95687-4129 | 2020-10-09 |
| 1730787094 | Movement System Institute Physiotherapy Inc | Clinic/Center | 508 Glenwood Rd Apt 102, Glendale, CA 91202-1572 | 2020-10-09 |
| 1538766530 | Sterling King Physical Therapy | Clinic/Center | 1820 Fullerton Ave Ste 280, Corona, CA 92881-3175 | 2020-10-03 |
| 1902403041 | Jha Geriatric Services, Inc | Clinic/Center | 12490 Fielding Circle, Suite 174, Playa Vista, CA 90094-3024 | 2020-10-01 |
| 1245847540 | Bespoke San Diego Physical Therapy PC | Clinic/Center | 2748 Ariane Dr, Unit 141, San Diego, CA 92117-3407 | 2020-09-30 |
| 1285241786 | Rapid Recovery Physical Therapy Inc | Clinic/Center | 39807 Paseo Padre Pkwy, Fremont, CA 94538-2974 | 2020-09-28 |
| 1053928697 | Bonnie Laine Lasher | Clinic/Center | 33772 Copper Lantern St Apt C, Dana Point, CA 92629-6427 | 2020-09-28 |
| 1295340792 | Naum Physical Therapy PC | Clinic/Center | 11405 Fulbourn Ct, Rancho Cucamonga, CA 91730-8341 | 2020-09-10 |
| Find all providers with the same taxonomy | ||||
| City | SANTA ROSA |
| Zip Code | 95407 |
Please comment or provide details below to improve the information on DEPARTMENT OF HEALTH SERVICES.
| 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.