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DRS. ACKLEY DAVIS BREWER MIRAGLIA ANAKA ET AL. NPI 1124066808


NPI Information

NPI: 1124066808
Provider Name: DRS. ACKLEY, DAVIS, BREWER, MIRAGLIA, ANAKA, ET AL.

Doing Business As: PEDIATRIC ASSOCIATES SUTTER

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0945473

Address:
1200 SONOMA AVE STE 6
SANTA ROSA, CA
ZIP 95405
Phone: (707) 545-2545
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DRS. ACKLEY, DAVIS, BREWER, MIRAGLIA, ANAKA, ET AL. is a pediatrics in Santa Rosa, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DRS. ACKLEY, DAVIS, BREWER, MIRAGLIA, ANAKA, ET AL. NPI is 1124066808. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Associates Sutter.

The provider's business location address is:

1200 SONOMA AVE STE 6
SANTA ROSA, CA
ZIP 95405-664
Phone: (707) 545-2545
Fax: (707) 545-1829

The provider's authorized official is Edna Staples .
The authorized official title is Office Manager and has the following contact phone number (707) 545-2545.

The CLIA number assigned to this NPI record is 05D0945473 - ancillary testing site in health care center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsYes

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: 4/28/2024

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