Healther Providers Data Logo


Provider Type Icon

SONOMA VALLEY COMMUNITY HEALTH CENTER NPI 1093854036


NPI Information

NPI: 1093854036
Provider Name: SONOMA VALLEY COMMUNITY HEALTH CENTER

Doing Business As: SONOMA VALLEY COMMUNITY HEALTH CENTER MOBILE VAN

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
19270 SONOMA HIGHWAY 12
SONOMA, CA
ZIP 95476
Phone: (707) 939-6070
Get Directions

SONOMA VALLEY COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Sonoma, CA. SONOMA VALLEY COMMUNITY HEALTH CENTER NPI is 1093854036. The provider is registered as an organization entity type.
The provider Is Doing Business As Sonoma Valley Community Health Center Mobile Van.

The provider's business location address is:

19270 SONOMA HIGHWAY 12
SONOMA, CA
ZIP 95476-414
Phone: (707) 939-6070
Fax: (707) 939-6077

The provider's authorized official is Charyl K Johnson .
The authorized official title is Ceo and has the following contact phone number (707) 939-6075.

The enumeration date for this NPI number is 2/6/2007 and was last updated on 7/3/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)110000251CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
155-1944MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE FQHC MOBILE VAN
2FHC53855FMEDICAIDCALIFORNIA
3HAP53855FMEDICAIDCALIFORNIA
4BCP53855FMEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
Remove or sync iconNPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI
Next NPI »