|
| |
|
1287 Fulton Rd Santa Rosa CA 95401-4923 | |
| (707) 595-3133 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1287 Fulton Rd, Santa Rosa, California |
| Authorized Official Name and Position | Jon Sterngold (OWNER) |
| Authorized Official Contact | 7075953133 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1770 La Mesa CA 91944-1770 Ph: () - | 1287 Fulton Rd Santa Rosa CA 95401-4923 Ph: (707) 595-3133 |
| NPI Number | 1811490899 |
|---|---|
| Provider Enumeration Date | 03/15/2018 |
| Last Update Date | 06/04/2021 |
| Medicare PECOS PAC ID | 9436412954 |
|---|---|
| Medicare Enrollment ID | O20180416002800 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811490899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Michele V Bunker-alberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295730935 PECOS PAC ID: 3173592375 Enrollment ID: I20040924000713 |
| Provider Name | Robert Thomas Isaacs |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912927286 PECOS PAC ID: 7113935479 Enrollment ID: I20080426000048 |
| Provider Name | Jon R Sterngold |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265664866 PECOS PAC ID: 5991947129 Enrollment ID: I20130816000612 |
| Provider Name | Mahedere Solomon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588809651 PECOS PAC ID: 6709001910 Enrollment ID: I20140702000416 |
| Provider Name | Tiffany Figuero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174011928 PECOS PAC ID: 8123367554 Enrollment ID: I20190302000039 |
| Provider Name | Mary E Andich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093222408 PECOS PAC ID: 6002146107 Enrollment ID: I20191002001449 |
Sutter Medical Group Of The Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4725a Hoen Ave, Santa Rosa, CA 95405 Phone: 707-576-3322 | |
Elyse R. Eisenberg, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 725 Farmers Ln, Ste 10, Santa Rosa, CA 95405 Phone: 707-523-3375 Fax: 866-870-0815 | |
Sutter Medical Group Of The Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4750 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-523-2666 Fax: 707-523-3399 | |
Thomas M. Collins Chiropractic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1212 Farmers Ln, Suite 2, Santa Rosa, CA 95405 Phone: 707-566-7396 Fax: 707-566-7398 | |
Sonoma County Junior College District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 Mendocino Ave, Santa Rosa, CA 95401 Phone: 707-527-4445 Fax: 707-524-1858 |