St. Joseph Health Northern California, Llc in Santa Rosa - Dental
St. Joseph Health Northern California, Llc - NPI 1326174319
St. Joseph Health Northern California, Llc is a Dental in Santa Rosa, California. St. Joseph Health Northern California, Llc practices all healthcare services and medical treatments related to Dental. The NPI Number for St. Joseph Health Northern California, Llc is 1326174319. The last update date is 2021-11-03.
St. Joseph Health Northern California, Llc's current location address is 751 Lombardi Ct, Santa Rosa, California. You can contact this provider via phone number 7075472237 and fax number 7075472230. The mailing address for St. Joseph Health Northern California, Llc is 751 Lombardi Ct, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | St. Joseph Health Northern California, Llc |
|---|---|
| Address | 751 Lombardi Ct, Santa Rosa, California |
| Phone Number | 7075472237 |
| Fax Number | 7075472230 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ASSISTANT |
|---|---|
| Authorized Official Name | Anderson Wayne Donald |
| Telephone Number | 4255255392 |
NPI Number Detail
| NPI Number | 1326174319 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2021-11-03 |
Provider Mailing Address Detail
| Address | 751 Lombardi Ct |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954076793 |
| Phone Number | 7075472237 |
| Fax Number | 7075472230 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 110000498 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G9048301 | CA | MEDICAL PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to St. Joseph Health Northern California, Llc by the Centers for Medicare & Medicaid Services (CMS)?
The St. Joseph Health Northern California, Llc has been assigned the NPI (National Provider Identifier) 1326174319. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of St. Joseph Health Northern California, Llc?
The St. Joseph Health Northern California, Llc is physically situated at 751 Lombardi Ct, in the city of Santa Rosa, state of CA, with the postal code 954076793.
What is St. Joseph Health Northern California, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The St. Joseph Health Northern California, Llc's area of specialization is Dental, and the corresponding taxonomy code that categorizes this field of practice is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1326174319 to St. Joseph Health Northern California, Llc?
The Centers for Medicare & Medicaid Services assigned the 1326174319 to St. Joseph Health Northern California, Llc on 2007-02-26.
When was the information regarding St. Joseph Health Northern California, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to St. Joseph Health Northern California, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2021-11-03.