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SONOMA VALLEY COMMUNITY HEALTH CENTER MOBILE VAN
NPI 1093854036
Clinic/Center - Federally Qualified Health Center (FQHC) in Sonoma, CA

Active since February 06, 2007CLIA 05D0903302 · Microscopy
19270 SONOMA HIGHWAY 12, SONOMA, CA 95476(707) 939-6070(707) 939-6077 Get Directions Write a Review

NPPES record last updated: July 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sonoma Valley Community Health Center Mobile Van NPPES

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

SONOMA VALLEY COMMUNITY HEALTH CENTER MOBILE VAN (NPI 1093854036) is a healthcare organization registered as a federally qualified health center (fqhc) in Sonoma, California and active in the NPI registry since February 2007. The organization holds a CLIA Microscopy certificate valid through February 18, 2027 and lists Charyl K Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093854036
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSONOMA VALLEY COMMUNITY HEALTH CENTER
Location Address19270 SONOMA HIGHWAY 12Sonoma, CA 95476-5414
Mailing Address19270 Sonoma Highway 12Sonoma, CA 95476-5414 · (707) 939-6070 · Fax (707) 939-6077
Phone(707) 939-6070
Fax(707) 939-6077
Organization SubpartYes
Authorized OfficialCharyl K JohnsonCeo · (707) 939-6075
Enumeration DateFebruary 6, 2007
Last NPPES UpdateJuly 3, 2014
✔ NPI 1093854036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 110000251
19270 SONOMA HIGHWAY 12, Sonoma, CA 95476
Open in Google Maps ↗

Other Names 1

Doing Business AsSonoma Valley Community Health Center Mobile Van

Other Identifiers 4

Medicare ID-Type Unspecified55-1944CA · Medicare Fqhc Mobile Van
MedicaidFHC53855FCA
MedicaidHAP53855FCA
MedicaidBCP53855FCA

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0903302

Sonoma Valley Community Health Center · Sonoma, CA
Active · expires Feb 18, 2027
CLIA Number05D0903302
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateFebruary 19, 2025
Certificate Expiration DateFebruary 18, 2027
Laboratory DirectorJing Zhao
Laboratory Phone(707) 939-8046
Laboratory LocationSonoma Valley Community Health Center19270 Sonoma Hwy, Sonoma, CA 95476
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

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

SILVIA KARINA ZEPEDA-MOLINA
Dental Hygienist
19270 SONOMA HIGHWAY 12
SONOMA, CA 95476
Sonoma County (707) 939-6070
DR. RALPH STEVEN PULVERMAN D.O.
Family Medicine
19270 SONOMA HIGHWAY 12
SONOMA, CA 95476
Sonoma County (707) 939-6070
SONOMA VALLEY COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
19270 SONOMA HIGHWAY 12
SONOMA, CA 95476
Sonoma County (707) 939-6070
SONOMA VALLEY COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
19270 SONOMA HIGHWAY 12
SONOMA, CA 95476
Sonoma County (707) 939-6070
SARA ELIZABETH STRATTON PA-C
Physician Assistant
19270 SONOMA HIGHWAY 12
SONOMA, CA 95476
Sonoma County (707) 939-6070
MRS. MYRNA LILLIA GRANADOS JOHNSON RDH AP
Dental Hygienist
19270 SONOMA HIGHWAY 12
SONOMA, CA 95476
Sonoma County (707) 939-6070
SONOMA VALLEY COMMUNITY HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
19270 SONOMA HIGHWAY 12
SONOMA, CA 95476
Sonoma County (707) 939-6070

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 Sonoma Valley Community Health Center's NPI number?

The NPI number for Sonoma Valley Community Health Center is 1093854036. It was assigned to this organization in the NPPES registry on February 6, 2007. The provider is doing business as Sonoma Valley Community Health Center Mobile Van.

Where is Sonoma Valley Community Health Center located?

Sonoma Valley Community Health Center is located at 19270 Sonoma Highway 12, Sonoma, CA 95476. The listed phone number is (707) 939-6070.

What is Sonoma Valley Community Health Center's specialty?

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

Does Sonoma Valley Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0903302) is associated with this NPI, valid through February 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sonoma Valley Community Health Center was last updated on July 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.