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JAN O SONANDER MD NPI 1669659389


NPI Information

NPI: 1669659389
Provider Name: JAN O SONANDER, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
11 DOCTORS PARK DR
SANTA ROSA, CA
ZIP 95405
Phone: (707) 542-8700
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JAN O SONANDER, MD is a family medicine in Santa Rosa, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JAN O SONANDER, MD NPI is 1669659389. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11 DOCTORS PARK DR
SANTA ROSA, CA
ZIP 95405
Phone: (707) 542-8700
Fax: (707) 528-8700

The provider's authorized official is Jan O Sonander .
The authorized official title is Owner and has the following contact phone number (707) 542-8700.

The enumeration date for this NPI number is 1/24/2008 and was last updated on 9/18/2008.


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
1207Q00000XFamily MedicineG56178CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1020A56290MEDICARE PINCALIFORNIA
25281540001MEDICARE NSCCALIFORNIA
3A16088MEDICARE UPINCALIFORNIA
400G561780MEDICARE PINCALIFORNIA
5A53094MEDICARE UPINCALIFORNIA
600G561780OTHERCALIFORNIAMEDICARE GROUP PTAN

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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