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SONOMA VALLEY SPECIALTY CLINIC
NPI 1215382973
Surgery in Sonoma, CA

Active since May 02, 2016CLIA 05D0681362 · Microscopy
270 PERKINS ST, SONOMA, CA 95476(707) 938-3131(707) 938-3678 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 23, 2024, Sep 14, 2022, Sep 27, 2016 (3 updates tracked since 2016).

About Sonoma Valley Specialty Clinic NPPES

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

SONOMA VALLEY SPECIALTY CLINIC (NPI 1215382973) is a healthcare organization registered as a surgery in Sonoma, California and active in the NPI registry since May 2016. The organization holds a CLIA Microscopy certificate valid through February 12, 2027, maintains a secondary practice location in Sonoma, and lists John Hennelly, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215382973
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameSONOMA VALLEY HEALTH CARE DISTRICT
Location Address270 PERKINS STSonoma, CA 95476-6955
Mailing Address347 Andrieux StSonoma, CA 95476-6811 · (707) 935-5000
Phone(707) 938-3131
Fax(707) 938-3678
Organization SubpartYes
Authorized OfficialJohn HennellyCeo · (707) 935-5000
Enumeration DateMay 2, 2016
Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
✔ NPI 1215382973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedGeneral Acute Care HospitalTaxonomy 282N00000X · License 110000072 (CA)
270 PERKINS ST, Sonoma, CA 95476
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Other Names 1

Doing Business AsSonoma Valley Specialty Clinic

Secondary Practice Location 1

Location 1347 Andrieux StSonoma, CA 95476-6811 · Phone (707) 935-5000 · Fax (707) 935-5319

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sonoma Valley Specialty Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Sonoma Valley Specialty Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 6

Internal Medicine3
Family Practice2
Nurse Practitioner2
Colorectal Surgery (Proctology)1
General Surgery1
Interventional Pain Management1

Clinicians, nearest first (10)

Subhash Mishra, MD
Family Practice
NPI 1285695437
270 PERKINS STREET
Sonoma, CA 95476
(707) 938-3131
✔ PECOS✔ Accepts MedicareSame address
Rebecca Spear, DNP, ARNP, AGNP-C
Nurse Practitioner
NPI 1285003814
270 PERKINS ST
Sonoma, CA 95476
(707) 938-3131
✔ PECOS✔ Accepts MedicareSame address
Alexis Alexandridis, MD
General Surgery
NPI 1093925182
246 PERKINS ST
Sonoma, CA 95476
(707) 938-7690
✔ PECOS✔ Accepts MedicareSame address
Stuart Campbell, MD
Internal Medicine
NPI 1053427989
670 THIRD STREET WEST
Sonoma, CA 95476
(707) 938-5916
✔ PECOS✔ Accepts MedicareSame address
Dennis Verducci, MD
Internal Medicine
NPI 1437265360
670 3RD ST W
Sonoma, CA 95476
(707) 938-5916
✔ PECOS✔ Accepts MedicareSame address
Selamawit Gebrezghi, FNP
Nurse Practitioner
NPI 1912175787
401 BICENTENNIAL WAY
Santa Rosa, CA 95403
(707) 393-4000
✔ PECOS✔ Accepts Medicare19 mi
Sabrina Kidd, M.D.
Colorectal Surgery (Proctology)
NPI 1053534354
30 MARK WEST SPRINGS RD
Santa Rosa, CA 95403
(707) 576-4000
✔ PECOS21 mi
Richard Gerber, M.D.
Internal Medicine
NPI 1134259708
2250 HAYES ST SUITE 206
San Francisco, CA 94117
(415) 379-6100
✔ PECOS36 mi
Parinaz Azari, M.D.
Interventional Pain Management
NPI 1942442132
15230 LAKESHORE DR LIVE WELL SUITE 3
Clearlake, CA 95422
(707) 995-4545
✔ PECOS✔ Accepts Medicare46 mi
Daisy Manuel- Arguelles, DO
Family Practice
NPI 1033173968
528 CAPITOLA AVE
Capitola, CA 95010
(831) 475-1630
✔ PECOS✔ Accepts Medicare95 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 05D0681362

Sonoma Valley Health Care District Hospital Dba Sonoma Valley Specialty Clinic · Sonoma, CA
Active · expires Feb 12, 2027
CLIA Number05D0681362
Laboratory TypePhysician Office
Certificate Effective DateFebruary 13, 2025
Certificate Expiration DateFebruary 12, 2027
Laboratory DirectorSubhash R. Mishra, MD
Laboratory Phone(707) 938-3131
Laboratory LocationSonoma Valley Health Care District Hospital Dba Sonoma Valley Specialty Clinic270 Perkins Street, Sonoma, CA 95476
CLIA data matches this NPI record on: Address Name Phone
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.

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 Health Care District's NPI number?

The NPI number for Sonoma Valley Health Care District is 1215382973. It was assigned to this organization in the NPPES registry on May 2, 2016. The provider is doing business as Sonoma Valley Specialty Clinic.

Where is Sonoma Valley Health Care District located?

Sonoma Valley Health Care District is located at 270 Perkins St, Sonoma, CA 95476. The listed phone number is (707) 938-3131.

What is Sonoma Valley Health Care District's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Sonoma Valley Health Care District enrolled in Medicare?

Yes. Sonoma Valley Health Care District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sonoma Valley Health Care District?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 6 Medicare specialties reassign their Medicare billing to Sonoma Valley Health Care District. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (3), Family Practice (2) and Nurse Practitioner (2). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Sonoma Valley Health Care District hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0681362) is associated with this NPI, valid through February 12, 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 Health Care District was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.