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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PROVIDENCE MEDICAL FOUNDATION

Active Organization

PROVIDENCE MEDICAL FOUNDATION is a Family Medicine organization located in SANTA ROSA, California. NPI 1265015978 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · SANTA ROSA, CA

Registration Details

NPI Number
1265015978
Provider Type
Organization
NPI Issued
Apr 30, 2021 (5.2806173620487 yrs)
Last Updated
Jan 6, 2026

Practice Information

Address
185 SOTOYOME ST
SANTA ROSA, CA, 954054803
Browse CA providers · Browse ZIP 95405
Phone
7073038355
Fax
7073032035
Primary Specialty
Family Medicine
207Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.