ENDOSCOPY CENTER OF SANTA ROSA NPI 1467478818

NPI Information

NPI: 1467478818
Provider Name: ENDOSCOPY CENTER OF SANTA ROSA
Classification: Clinic/Center - 261QE0800X
Entity Type: Organization

Specialization: Endoscopy

Address:
1200 SONOMA AVE
SUITE 2
SANTA ROSA, CA
ZIP 95405
Phone: (707) 571-2192
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ENDOSCOPY CENTER OF SANTA ROSA is an endoscopy clinic center in Santa Rosa, CA. ENDOSCOPY CENTER OF SANTA ROSA NPI is 1467478818. The provider is registered as an organization entity type.

The provider's business location address is:

1200 SONOMA AVE
SUITE 2
SANTA ROSA, CA
ZIP 95405-664
Phone: (707) 571-2192
Fax: (707) 571-2194

The provider's authorized official is Marion Auld .
The authorized official title is Manager and has the following contact phone number (707) 571-2192.

The enumeration date for this NPI number is 7/15/2006 and was last updated on 7/21/2022.

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
1	261QE0800X	Clinic/Center	Endoscopy		CALIFORNIA	Yes

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
1	ZZZH49112	OTHER	CALIFORNIA	BLUE SHIELD
2	AS1557	OTHER	CALIFORNIA	BLUE CROSS

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

NPI Synchronization or Removal

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