NORTH BAY MEDICAL GROUP SURGERY CENTER
NPI 1639220189
Clinic/Center - Ambulatory Surgical in Santa Rosa, CA

Active since January 12, 2007
4415 SONOMA HWY, SUITE B, SANTA ROSA, CA 95409(707) 591-0619(707) 591-0617 Get Directions Write a Review

NPPES record last updated: July 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About North Bay Medical Group Surgery Center NPPES

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

NORTH BAY MEDICAL GROUP SURGERY CENTER (NPI 1639220189) is a healthcare organization registered as an ambulatory surgical in Santa Rosa, California and active in the NPI registry since January 2007. The organization lists Eric James Kraut, President, as its authorized official.

NPPES Registry Identity

NPI1639220189
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNORTH BAY MEDICAL GROUP SURGERY CENTER
Location Address4415 SONOMA HWY, SUITE BSanta Rosa, CA 95409-7100
Mailing Address3850 Montgomery Dr, Suite DSanta Rosa, CA 95405-5207 · (707) 591-0619 · Fax (707) 591-0617
Fax(707) 591-0617
Organization SubpartNo
Authorized OfficialEric James KrautPresident · (707) 591-0619
Enumeration DateJanuary 12, 2007
Last NPPES UpdateJuly 21, 2008
NPI 1639220189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in CA · AS1628
4415 SONOMA HWY, Santa Rosa, CA 95409

Other Identifiers 2

Medicare UPINX99342CA
Medicare ID-Type UnspecifiedZZZ27185ZCA

Other Providers at the Same Location NPPES 8

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

Behavior Technician
4415 SONOMA HWY
SANTA ROSA, CA 95409
Social Worker (Clinical)
4415 SONOMA HWY
SANTA ROSA, CA 95409
Social Worker (Clinical)
4415 SONOMA HWY
SANTA ROSA, CA 95409
Urology
4415 SONOMA HWY, SUITE A
SANTA ROSA, CA 95409
Clinic/Center (Ambulatory Family Planning Facility)
4415 SONOMA HWY, SUITE D
SANTA ROSA, CA 95409
Local Education Agency (LEA)
4415 SONOMA HWY
SANTA ROSA, CA 95409
Clinic/Center (Multi-Specialty)
4415 SONOMA HWY, SUITE D
SANTA ROSA, CA 95409
Marriage & Family Therapist
4415 SONOMA HWY
SANTA ROSA, CA 95409

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 North Bay Medical Group Surgery Center's NPI number?

The NPI number for North Bay Medical Group Surgery Center is 1639220189. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is North Bay Medical Group Surgery Center located?

North Bay Medical Group Surgery Center is located at 4415 Sonoma Hwy Suite B, Santa Rosa, CA 95409. The listed phone number is (707) 591-0619.

What is North Bay Medical Group Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for North Bay Medical Group Surgery Center was last updated on July 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.