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BOHEMIAN CONCIERGE CARE
NPI 1194309302
Family Medicine in Sebastopol, CA

Active since May 12, 2021CLIA 05D2244713 · Waiver
555 PETALUMA AVE STE B, SEBASTOPOL, CA 95472(707) 239-9257 Get Directions Write a Review

NPPES record last updated: May 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Bohemian Concierge Care NPPES

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

BOHEMIAN CONCIERGE CARE (NPI 1194309302) is a healthcare organization registered as a family medicine in Sebastopol, California and active in the NPI registry since May 2021. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Elizabeth Flower, Physician / Owner, as its authorized official.

NPPES Registry Identity

NPI1194309302
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBOHEMIAN CONCIERGE CARE
Location Address555 PETALUMA AVE STE BSebastopol, CA 95472-4225
Mailing Address555 Petaluma Ave Ste BSebastopol, CA 95472-4225 · (707) 239-9257
Phone(707) 239-9257
Organization SubpartNo
Authorized OfficialElizabeth FlowerPhysician / Owner · (707) 239-9257
Enumeration DateMay 12, 2021
NPPES CertifiedMay 12, 2021
✔ NPI 1194309302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

555 PETALUMA AVE STE B, Sebastopol, CA 95472
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 05D2244713

Bohemian Concierge Care Inc · Sebastopol, CA
Active · expires Dec 3, 2027
CLIA Number05D2244713
Laboratory TypePhysician Office
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorElizabeth Flower
Laboratory Phone(707) 509-5962
Laboratory LocationBohemian Concierge Care Inc555 Petaluma Ave Suite B-3, Sebastopol, CA 95472
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

MICHAEL T. BOLLINGER, MD, A PROFESSIONAL CORPORATION
Specialist
555 PETALUMA AVE STE B
SEBASTOPOL, CA 95472
Sonoma County (707) 823-7602
SEBASTOPOL URGENT CARE
Clinic/Center (Urgent Care)
555 PETALUMA AVE STE B
SEBASTOPOL, CA 95472
Sonoma County (707) 239-9257
MR. KEVIN R DEUTSCHE RPA-C
Physician Assistant
555 PETALUMA AVE STE B
SEBASTOPOL, CA 95472
Sonoma County (707) 823-7602

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 Bohemian Concierge Care's NPI number?

The NPI number for Bohemian Concierge Care is 1194309302. It was assigned to this organization in the NPPES registry on May 12, 2021.

Where is Bohemian Concierge Care located?

Bohemian Concierge Care is located at 555 Petaluma Ave Ste B, Sebastopol, CA 95472. The listed phone number is (707) 239-9257.

What is Bohemian Concierge Care's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Bohemian Concierge Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2244713) is associated with this NPI, valid through December 3, 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 Bohemian Concierge Care was last updated on May 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.