JEWISH COMMUNITY FREE CLINIC
NPI 1073843819
Public Health or Welfare in Santa Rosa, CA
About Jewish Community Free Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEWISH COMMUNITY FREE CLINIC (NPI 1073843819) is a healthcare organization registered as a public health or welfare in Santa Rosa, California and active in the NPI registry since December 2009. The organization holds a CLIA Waiver certificate valid through September 12, 2026 and lists Donna L Waldman, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D0989667
Jewish Community Free Clinic Lions Clubhouse La Plaza Park, Parking · Santa Rosa, CAOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Jewish Community Free Clinic's NPI number?
The NPI number for Jewish Community Free Clinic is 1073843819. It was assigned to this organization in the NPPES registry on December 29, 2009.
Where is Jewish Community Free Clinic located?
Jewish Community Free Clinic is located at 50 Montgomery Dr, Santa Rosa, CA 95404. The listed phone number is (707) 585-7780.
What is Jewish Community Free Clinic's specialty?
The primary specialty registered for this NPI is Public Health or Welfare with taxonomy code 251K00000X.
Does Jewish Community Free Clinic hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 05D0989667) is associated with this NPI, valid through September 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Jewish Community Free Clinic was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Jewish Community Free Clinic · NPI 1073843819
Public Health or Welfare organization in Santa Rosa, California. Organization record, active in the CMS NPPES registry since December 29, 2009.
## Identity
- **NPI:** 1073843819 (Entity type: Organization)
- **Enumerated:** December 29, 2009
- **Primary specialty:** Public Health or Welfare · taxonomy 251K00000X
- **Organization subpart:** No
- **Authorized official:** Donna Waldman, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 50 MONTGOMERY DR, Santa Rosa, CA 95404-6615
- **Phone:** (707) 585-7780
## Record status
- **NPPES last updated:** September 10, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073843819) · Data from the CMS NPPES public registry.