DEPARTMENT OF HEALTH


Address: 2350 Professional Dr, Santa Rosa, CA 95403-3018
Phone: 7075654963

DEPARTMENT OF HEALTH (NPI# 1790183432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790183432
Entity Type Organization
Organization Name DEPARTMENT OF HEALTH
Other Organization Name 1370 OUTPATIENT PROGRAM
Practice Address 2350 Professional Dr
Santa Rosa
CA 95403-3018
Practice Telephone 7075654963
Mailing Telephone 7075654963
Enumeration Date 2014-12-11
Last Update Date 2015-01-16
Authorized Official Name DIANA STORNETTA (SUPERVISING ACCOUNTANT)
Authorized Official Telephone 7075654833
Is Organization Subpart Y
Parent Organization Name COUNTY OF SONOMA

Taxonomy

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

Other Provider/Organization Names

Other Name Type Code
1370 Outpatient Program Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1801250295 Department of Health Community/Behavioral Health 370 W 118th St, Suite 2b, New York, NY 10026-1015 2016-04-12
1144681933 Department of Health Clinic/Center State Road 155 Km 13, Bo Pueblo, Rincon, PR 00677 2016-03-08
1417317736 Department of Health Nursing Care 111 N Terrace Ave, 2nd Floor, Mount Vernon, NY 10550-1808 2016-02-29
1760752836 Department of Health Clinic/Center #78 1-2-3 Estate Contant, Elaine Co Bldg, St Thomas, VI 00802 2012-01-06
1467692269 Department of Health Case Management 198 Calle Trinidad, Urb Pineiro, San Juan, PR 00917-2900 2009-03-06
1205954146 Department of Health Public Health or Welfare 1501 Dawson Road, Forrest City, AR 72236 2007-03-27
1164820874 Department of Health Clinic/Center 2777 Ventura Ave, Santa Rosa, CA 95403-2226 2014-12-11
1073861498 Department of Health Counselor 70 N St Ne, Washington, DC 20002-3324 2012-08-15
1376899708 Department of Health Clinic/Center 3433 Junction Blvd, Jackson Heights, NY 11372-3828 2012-08-03
1295854875 Department of Health Public Health or Welfare 1501 Dawson Road, Forrest City, AR 72236 2007-03-28

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities DEPARTMENT OF HEALTH One Fagaalu Road, Pago Pago, AS 96799-9998
System for Award Management (SAM) Entities DEPARTMENT OF HEALTH & ENVIRONMENT 1525 Blue Spruce Dr, Fort Collins, CO 80524-2004
System for Award Management (SAM) Entities DEPARTMENT OF HEALTH AND HUMAN SERVICES 131 Coventry St Suite 1013 Room 1015, Hartford, CT 06112-1548
Colorado Business Entities Department of Health and Recreation LLC 3264 Larimer Street, Suite D, Denver, CO 80205
System for Award Management (SAM) Entities DEPARTMENT OF HEALTH AND WELLNESS PROMOTION 3245 E Jefferson Ste 100, Detroit, MI 48207-4222
System for Award Management (SAM) Entities DEPARTMENT OF HEALTH MINNESOTA 625 N Robert St, Saint Paul, MN 55101-2192
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
System for Award Management (SAM) Entities DEPARTMENT OF HEALTH UTAH 288 N 1460 W, Salt Lake City, UT 84116-3231
Colorado Business Entities Department of HEALTHCARE Management Professionals LLC 644 Shrewsbury Commons Ave, Ste 188, Shrewsbury, PA 17361

Office Location

Street Address 2350 PROFESSIONAL DR
City SANTA ROSA
State CA
Zip Code 95403-3018

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609395862 Karen Church Counselor 2350 Professional Dr, Santa Rosa, CA 95403-3018 2017-09-19
1831618321 Sarah Gerber-kai Social Worker 2350 Professional Dr, Santa Rosa, CA 95403-3018 2017-09-15
1619339595 Bradly Dee Snell Counselor 2350 Professional Dr, Santa Rosa, CA 95403-3018 2016-03-22
1932546744 Ullrike Johanna Childs Registered Nurse 2350 Professional Dr, Santa Rosa, CA 95403-3018 2013-06-03
1659670503 Desiree D Ohlstrom Marriage & Family Therapist 2350 Professional Dr, Santa Rosa, CA 95403-3018 2011-03-17
1194900019 Asghar Ehsan Counselor 2350 Professional Dr, Santa Rosa, CA 95403-3018 2008-01-09
1952515462 County of Sonoma Clinic/Center 2350 Professional Dr, Santa Rosa, CA 95403-3018 2007-05-10
1316082837 Matthew Thomas Riffel Registered Nurse 2350 Professional Dr, County of Sonoma, Fact, Santa Rosa, CA 95403-3018 2007-02-21
1912052283 David Arland Evans Marriage & Family Therapist 2350 Professional Dr, Santa Rosa, CA 95403-3018 2007-01-24
1063576007 Steven S. Ranish Psychologist 2350 Professional Dr, Santa Rosa, CA 95403-3018 2006-12-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1912549841 Abundance Acupuncture Healing Clinic Acupuncturist 3410 Mendocino Avenue, Santa Rosa, CA 95403 2019-10-11
1982161337 Crystal J Ward Registered Nurse 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 2019-02-21
1033674379 George Edward Griese Respiratory Therapist, Registered 501 Bicentennial Way, Santa Rosa, CA 95403 2019-01-31
1508320672 East-west Natural Medicine Inc. Acupuncturist 2200 Range Ave #207, Santa Rosa, CA 95403 2019-01-23
1316410640 Lionel C Cooper Counselor 315 Mark West Springs Road, Santa Rosa, CA 95403 2019-01-09
1326519182 Jkb Solutions Inc. In Home Supportive Care 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 2018-12-05
1487121265 Catholic Charities of The Diocese of Santa Rosa Clinic/Center 987 Airway Ct, Santa Rosa, CA 95403 2018-10-30
1447746524 Lisa Jean Quang Optometrist 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 2018-07-02
1598253353 Jennifer Renee Lummus Community Health Worker 3614 Condo Court, Santa Rosa, CA 95403 2018-04-27
1871042366 Sadie Thuet Marriage & Family Therapist 3434 A Mendocino Ave, Santa Rosa, CA 95403 2016-09-26
Find all providers in zip 95403

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
1306050828 County of Sonoma Clinic/Center 112 Childrens Cir, Santa Rosa, CA 95409-6558 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
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
Find all providers in SANTA ROSA

Competitor

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City SANTA ROSA
Zip Code 95403

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Dataset Information

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.

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