Organization · Type 2 NPI

Sonoma Valley Community Health Center

Federally Qualified Health Center (FQHC) · Sonoma, CA

NPI number 1093854036 Active

Practice location

19270 Sonoma Highway 12
Sonoma, CA 95476-5414

Fax (707) 939-6077

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	110000251 (CA)

Federally Qualified Health Center (FQHC): Definition to come...

7 other providers at this address

Sonoma Valley Community Health CenterFederally Qualified Health Center (FQHC) Sonoma, CA NPI 1407157605
Sonoma Valley Community Health CenterFederally Qualified Health Center (FQHC) Sonoma, CA NPI 1427118942
Sonoma Valley Community Health CenterFederally Qualified Health Center (FQHC) Sonoma, CA NPI 1770669715
Myrna Lillia Granados Johnson, RDH APDental Hygienist Sonoma, CA NPI 1548702533
Ralph Steven Pulverman, DOFamily Medicine Physician Sonoma, CA NPI 1093760092
Sara Elizabeth Stratton, PA-CPhysician Assistant Sonoma, CA NPI 1477832996
Silvia Karina Zepeda-MolinaDental Hygienist Sonoma, CA NPI 1033651518

Other federally qualified health center (fqhc) providers in Sonoma

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NPI record

NPI: 1093854036
Entity type: Organization (Type 2)
Issued: Feb 6, 2007
Last updated: Jul 3, 2014
Status: Active
Subpart: Yes of Sonoma Valley Community Health Center

Other names

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Sonoma Valley Community Health Center Mobile Van · doing business as

Authorized official

Charyl K Johnson
CEO
(707) 939-6075

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1093854036

Sonoma Valley Community Health Center's National Provider Identifier is 1093854036, issued on Feb 6, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Sonoma, CA. The record was last updated on Jul 3, 2014.