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144 Stony Point Rd Santa Rosa CA 95401-4122 | |
| (707) 521-4630 | |
| (707) 526-1016 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 144 Stony Point Rd, Santa Rosa, California |
| Authorized Official Name and Position | Betty J Arterberry (CEO) |
| Authorized Official Contact | 7075214660 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
144 Stony Point Rd Santa Rosa CA 95401-4122 Ph: (707) 521-4630 | 144 Stony Point Rd Santa Rosa CA 95401-4122 Ph: (707) 521-4630 |
| NPI Number | 1265457980 |
|---|---|
| Provider Enumeration Date | 07/13/2006 |
| Last Update Date | 03/13/2024 |
| Medicare PECOS PAC ID | 2961491238 |
|---|---|
| Medicare Enrollment ID | O20040511000955 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265457980 | NPI | - | NPPES |
| THP11643F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 110000047 (California) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | David Emmanuel Almond |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295703833 PECOS PAC ID: 8820027790 Enrollment ID: I20050810001133 |
| Provider Name | Sam Cardenas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649249921 PECOS PAC ID: 1456365865 Enrollment ID: I20060206000252 |
| Provider Name | Don Carlos Steele |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457376170 PECOS PAC ID: 1759560550 Enrollment ID: I20110126000260 |
| Provider Name | Jennifer L Betts |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518965771 PECOS PAC ID: 7113911496 Enrollment ID: I20110825000056 |
| Provider Name | Susan Jean Guerrero |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134460587 PECOS PAC ID: 2365766409 Enrollment ID: I20150121001463 |
| Provider Name | Daniel Aman-alfy Khaleel |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760877815 PECOS PAC ID: 9638412133 Enrollment ID: I20190524002294 |
| Provider Name | Nicole Farmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891266565 PECOS PAC ID: 8729433248 Enrollment ID: I20231018001009 |
| Provider Name | Sarah Michelle Snow |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1548518558 PECOS PAC ID: 4688019672 Enrollment ID: I20240229002171 |
| Provider Name | Michael Wilder |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033286042 PECOS PAC ID: 0749627511 Enrollment ID: I20240328002166 |
| Provider Name | Margot Kathryn Brown |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689092165 PECOS PAC ID: 7517260698 Enrollment ID: I20240328002628 |
| Provider Name | Donald S Boone |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1124137732 PECOS PAC ID: 4981872777 Enrollment ID: I20240503000941 |
| Provider Name | Linda Gillum Funderburg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164489571 PECOS PAC ID: 5092737494 Enrollment ID: I20240808004625 |
| Provider Name | Lee Zeledon |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689170250 PECOS PAC ID: 5496297038 Enrollment ID: I20240903003077 |
| Provider Name | Brandon Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174936975 PECOS PAC ID: 7315484904 Enrollment ID: I20240918003238 |
| Provider Name | Todd Lee Spath |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1316386352 PECOS PAC ID: 3476094285 Enrollment ID: I20240920000030 |
| Provider Name | Eileen M Evind |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770867731 PECOS PAC ID: 3779015151 Enrollment ID: I20241010003102 |
| Provider Name | John V Barbour |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1386121119 PECOS PAC ID: 2365974433 Enrollment ID: I20241014003185 |
| Provider Name | Sally T Barbella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225317985 PECOS PAC ID: 8426580150 Enrollment ID: I20241018000765 |
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 |