COUNTY OF SONOMA


Address: 140 S Cloverdale Blvd, Cloverdale, CA 95425
Phone: 7078944715

COUNTY OF SONOMA (NPI# 1952637027) 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) 1952637027
Entity Type Organization
Organization Name COUNTY OF SONOMA
Other Organization Name CMHC CLOVERDALE
Practice Address 140 S Cloverdale Blvd
Cloverdale
CA 95425
Mailing Address 1360 N Mcdowell Blvd
Ste 1a
Petaluma
CA 94954-1177
Practice Telephone 7078944715
Mailing Telephone 7078944715
Enumeration Date 2009-10-26
Last Update Date 2018-06-27
Authorized Official Name JENNIFER PIMENTEL (DEPARTMENT ANALYST - CLAIMS MANAGER)
Authorized Official Telephone 7075654861
Is Organization Subpart Y
Parent Organization Name COUNTY OF SONOMA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QC1500X Clinic/Center
Specialization: Community Health
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA PROVIDER NUMBER 49FP 01

Other Provider/Organization Names

Other Name Type Code
CMHC CLOVERDALE Other Name - Individual/Organization

Other Provider IDs and Locations

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
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
1306050828 County of Sonoma Clinic/Center 112 Childrens Cir, Santa Rosa, CA 95409-6558 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

Office Location

Street Address 140 S CLOVERDALE BLVD
City CLOVERDALE
State CA
Zip Code 95425

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992353148 Beverly D. Westenberg Technician 20 King Ridge Hts., Cloverdale, CA 95425 2019-08-30
1043768807 Sacred Space Healing & Retreat Center International, Inc. Substance Abuse Rehabilitation Facility 627 Cherry Creek Rd., Box 311, Cloverdale, CA 95425 2016-09-21
1144318213 Mark William Garwah Chiropractor 142 S Cloverdale Blvd, Cloverdale, CA 95425 2006-10-11
1487605747 Kevin Joseph Garvin Dentist 118 East 2nd Street, Cloverdale, CA 95425 2006-05-12
1508833153 Cheri Lynn Heffel Nurse Practitioner 240 N Cloverdale Blvd, Copper Towers Family Medical Center, Cloverdale, CA 95425 2006-03-02
1356452262 Ronald D Schuster Chiropractor 240 N Cloverdale Blvd, Suite E, Cloverdale, CA 95425 2006-08-31
1184731234 Richard A Nicholls Dentist 114 N Main St, Cloverdale, CA 95425 2006-08-24
1437636701 Audrey Duong Dentist 100 W 3rd St, Cloverdale, CA 95425-3204 2018-07-19
1699106781 Coppertower Family Medical Center Clinic/Center 100 W 3rd St, Cloverdale, CA 95425-3204 2013-11-27
1386076156 Department of Health Services Clinic/Center 100 W 3rd St, Cloverdale, CA 95425-3204 2013-08-05
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Taxonomy Information

Taxonomy Code 261QC1500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Community Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1780292912 Marin Community Clinic Clinic/Center 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904-2009 2020-07-14
1922625847 Gardner Family Health Network Clinic/Center 1621 Gold St, Alviso, CA 95002-3530 2020-06-26
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1841829876 Pacific Central Coast Health Centers Clinic/Center 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 2020-04-02
1740812866 Tauna Mcginnis Clinic/Center 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 2020-02-06
1275173403 United Advocates for Children and Families Clinic/Center 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 2020-01-15
1083251532 Prime Wellness Community Health Center Clinic/Center 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 2019-12-03
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Competitor

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City CLOVERDALE
Zip Code 95425

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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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