SANTA ROSA COMMUNITY HEALTH CENTERS NPI 1962613349

NPI Information

NPI: 1962613349
Provider Name: SANTA ROSA COMMUNITY HEALTH CENTERS
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
Former Legal Business Name: SOUTHWEST COMMUNITY HEALTH CENTER
Address: 3569 ROUND BARN CIRCLE
SANTA ROSA, CA
ZIP 95403
Phone: (707) 303-3600

Map and Directions

Get Directions

NPI Details

SANTA ROSA COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Santa Rosa, CA. SANTA ROSA COMMUNITY HEALTH CENTERS NPI is 1962613349. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Southwest Community Health Center.

The provider's business location address is:

3569 ROUND BARN CIRCLE
SANTA ROSA, CA
ZIP 95403-781
Phone: (707) 303-3600
Fax: (707) 306-3635

The provider's authorized official is Gabriela Bernal-leroi .
The authorized official title is Chief Executive Officer and has the following contact phone number (707) 303-3600.

The enumeration date for this NPI number is 5/25/2007 and was last updated on 12/9/2022.

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	261Q00000X	Clinic/Center		550000087	CALIFORNIA	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	550000087	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	HAP71099F	OTHER	CALIFORNIA	FAMILY PACT ID
2	HAP71099F	MEDICAID	CALIFORNIA

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI