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SANTA ROSA COMMUNITY DENTAL CENTER
NPI 1023439759
Clinic/Center - Federally Qualified Health Center (FQHC) in Santa Rosa, CA

Active since December 24, 2013
1110 N DUTTON AVE, SANTA ROSA, CA 95401(707) 303-3600(707) 396-5155 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Dec 9, 2022, Apr 4, 2019, Mar 8, 2019 (3 updates tracked since 2019).

About Santa Rosa Community Dental Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA ROSA COMMUNITY DENTAL CENTER (NPI 1023439759) is a healthcare organization registered as a federally qualified health center (fqhc) in Santa Rosa, California and active in the NPI registry since December 2013. The organization lists Gabriela Bernal-leroi, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1023439759
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSANTA ROSA COMMUNITY HEALT CENTERS
Location Address1110 N DUTTON AVESanta Rosa, CA 95401-4606
Mailing Address3569 Round Barn CirSanta Rosa, CA 95403-5781 · (707) 303-3600 · Fax (707) 396-5155
Phone(707) 303-3600
Fax(707) 396-5155
Organization SubpartNo
Authorized OfficialGabriela Bernal-leroiChief Executive Officer · (707) 303-3600
Enumeration DateDecember 24, 2013
Last NPPES UpdateDecember 9, 20223 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1023439759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · DentalTaxonomy 261QD0000X
1110 N DUTTON AVE, Santa Rosa, CA 95401
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Other Names 1

Doing Business AsSanta Rosa Community Dental Center

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDMEE MARGUERITE DANAN MD
Neuromusculoskeletal Medicine & OMM
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600
SUZANNE WATTS DEDMORE RN, FNP-C
Nurse Practitioner (Family)
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600
CARLO FERRARONE PA-C
Physician Assistant (Medical)
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 396-5151
MARIE MULLIGAN M.D.
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600
DEBRA RAWSON
Nurse Practitioner (Family)
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600
WENDY KOHATSU MD
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600
DR. PANNA LOSSY MD
Family Medicine
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600
CHRISTINA YEBRA
Nurse Practitioner (Family)
1110 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santa Rosa Community Healt Centers's NPI number?

The NPI number for Santa Rosa Community Healt Centers is 1023439759. It was assigned to this organization in the NPPES registry on December 24, 2013. The provider is doing business as Santa Rosa Community Dental Center.

Where is Santa Rosa Community Healt Centers located?

Santa Rosa Community Healt Centers is located at 1110 N Dutton Ave, Santa Rosa, CA 95401. The listed phone number is (707) 303-3600.

What is Santa Rosa Community Healt Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Santa Rosa Community Healt Centers was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.