Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SCOG PHYSICIAN ASSISTANT CORPORATION
NPI 1457281552
Clinic/Center - Primary Care in Santa Rosa, CA

Q: What is Scog Physician Assistant Corporation's NPI number?

The NPI number for Scog Physician Assistant Corporation is 1457281552. It was assigned to this organization in the NPPES registry on May 20, 2026.

Q: What is Scog Physician Assistant Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 20, 2026

1688 TECADO DR, SANTA ROSA, CA 95403(707) 602-0013(707) 581-1900 Get Directions Write a Review

NPPES record added: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Scog Physician Assistant Corporation NPPES

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

SCOG PHYSICIAN ASSISTANT CORPORATION (NPI 1457281552) is a healthcare organization registered as a primary care in Santa Rosa, California and active in the NPI registry since May 2026. The organization lists Ruth Volkenant, Owner, as its authorized official.

NPPES Registry Identity

NPI1457281552

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameSCOG PHYSICIAN ASSISTANT CORPORATION

Location Address1688 TECADO DRSanta Rosa, CA 95403-7976

Mailing Address1688 Tecado DrSanta Rosa, CA 95403-7976 · (707) 602-0013 · Fax (707) 581-0013

Phone(707) 602-0013

Fax(707) 581-1900

Organization SubpartNo

Authorized OfficialRuth VolkenantOwner · (707) 602-0013

Enumeration DateMay 20, 2026

NPPES CertifiedApril 29, 2026

✔ NPI 1457281552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1688 TECADO DR, Santa Rosa, CA 95403

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

SCOG PHYSICIAN ASSISTANT CORPORATION

Clinic/Center (Primary Care)

1688 TECADO DR
SANTA ROSA, CA 95403

Sonoma County (707) 602-0013

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 Scog Physician Assistant Corporation's NPI number?

The NPI number for Scog Physician Assistant Corporation is 1457281552. It was assigned to this organization in the NPPES registry on May 20, 2026.

Where is Scog Physician Assistant Corporation located?

Scog Physician Assistant Corporation is located at 1688 Tecado Dr, Santa Rosa, CA 95403. The listed phone number is (707) 602-0013.

What is Scog Physician Assistant Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Scog Physician Assistant Corporation was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.