SONOMA COUNTY JUNIOR COLLEGE DISTRICT
NPI 1063728145
Clinic/Center - Student Health in Santa Rosa, CA

Q: What is Sonoma County Junior College District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

Active since August 26, 2010

1501 MENDOCINO AVE, SANTA ROSA, CA 95401(707) 527-4445(707) 524-1858 Get Directions Write a Review

NPPES record last updated: May 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 19, 2022, May 11, 2022 (2 updates tracked since 2022).

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About Sonoma County Junior College District NPPES

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

SONOMA COUNTY JUNIOR COLLEGE DISTRICT (NPI 1063728145) is a healthcare organization registered as a student health in Santa Rosa, California and active in the NPI registry since August 2010. The organization lists Kate Jolley, Vp Administration And Finance, as its authorized official.

NPPES Registry Identity

NPI1063728145

Entity TypeOrganization

Primary Taxonomy261QS1000X

Legal Business NameSONOMA COUNTY JUNIOR COLLEGE DISTRICT

Location Address1501 MENDOCINO AVESanta Rosa, CA 95401-4395

Mailing Address1501 Mendocino AveSanta Rosa, CA 95401-4395 · (707) 527-4445 · Fax (707) 524-1858

Phone(707) 527-4445

Fax(707) 524-1858

Organization SubpartNo

Authorized OfficialKate JolleyVp Administration And Finance · (707) 527-4413

Enumeration DateAugust 26, 2010

Last NPPES UpdateMay 19, 20222 updates tracked since enumeration

NPPES CertifiedMay 19, 2022

✔ NPI 1063728145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities

Taxonomy Code261QS1000X

1501 MENDOCINO AVE, Santa Rosa, CA 95401

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Other Providers at the Same Location NPPES 8

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

GENESIS CALLEJAS-MIR NP

Nurse Practitioner (Family)