SANTA ROSA VA CLINIC
NPI 1366480469
Clinic/Center - VA in Santa Rosa, CA
About Santa Rosa Va Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANTA ROSA VA CLINIC (NPI 1366480469) is a healthcare organization registered as a va in Santa Rosa, California and active in the NPI registry since June 2006. The organization holds an CLIA Accreditation certificate valid through September 30, 2026 and lists Erin Potter, Npi Team Member, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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 Accreditation 05D1058962
Santa Rosa VA Cboc · Santa Rosa, CAOther Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SANTA ROSA, CA 95407
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 San Francisco Vamc's NPI number?
The NPI number for San Francisco Vamc is 1366480469. It was assigned to this organization in the NPPES registry on June 2, 2006. The provider is also known as Santa Rosa VA Clinic.
Where is San Francisco Vamc located?
San Francisco Vamc is located at 2285 Challenger Way, Santa Rosa, CA 95407. The listed phone number is (702) 341-3020.
What is San Francisco Vamc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.
Does San Francisco Vamc hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 05D1058962) is associated with this NPI, valid through September 30, 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 San Francisco Vamc was last updated on June 16, 2022. 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.
# Santa Rosa Va Clinic · NPI 1366480469
VA organization in Santa Rosa, California. Organization record, active in the CMS NPPES registry since June 2, 2006.
## Identity
- **NPI:** 1366480469 (Entity type: Organization)
- **Enumerated:** June 2, 2006
- **Primary specialty:** Clinic/Center - VA · taxonomy 261QV0200X
- **Legal business name:** San Francisco Vamc
- **Organization subpart:** No
- **Authorized official:** Erin Potter, NPI TEAM MEMBER
## Practice location
- **Address:** 2285 CHALLENGER WAY, Santa Rosa, CA 95407-9998
- **Phone:** (702) 341-3020
## Record status
- **NPPES last updated:** June 16, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366480469) · Data from the CMS NPPES public registry.