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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ALEXANDRA FONTANILLA NP
NPI 1710536628
Nurse Practitioner - Pediatrics in Santa Rosa, CA

Active since September 04, 2019
711 STONY POINT RD STE 17, SANTA ROSA, CA 95407(707) 303-3600 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2026, Apr 25, 2026, Sep 4, 2019 (3 updates tracked since 2019).

About Alexandra Fontanilla Np NPPES

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

ALEXANDRA FONTANILLA NP (NPI 1710536628) is an individual pediatrics provider in Santa Rosa, California, licensed in California (95038145) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1710536628
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameALEXANDRA FONTANILLACredential: NP
Location Address711 STONY POINT RD STE 17Santa Rosa, CA 95407-6848
Mailing Address711 Stony Point Rd Ste 17Santa Rosa, CA 95407-6848
Phone(707) 303-3600
Sole ProprietorNo
Enumeration DateSeptember 4, 2019
Last NPPES UpdateJuly 14, 20263 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1710536628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in CA · 95038145
711 STONY POINT RD STE 17, Santa Rosa, CA 95407
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Other Providers at the Same Location NPPES 6

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

MADISON NICHOLE YUNGERT
Pediatrics
711 STONY POINT RD STE 17
SANTA ROSA, CA 95407
Sonoma County (707) 303-3600
SANTA ROSA COMMUNITY HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
711 STONY POINT RD STE 17
SANTA ROSA, CA 95407
Sonoma County (707) 578-2005
DR. DEEPIKA MINNAL M.D.
Pediatrics
711 STONY POINT RD STE 17
SANTA ROSA, CA 95407
Sonoma County (707) 578-2005
JULIA CHANG
Nurse Practitioner (Pediatrics)
711 STONY POINT RD STE 17
SANTA ROSA, CA 95407
Sonoma County (707) 578-2005
HEEJUN LEE
Nurse Practitioner (Pediatrics)
711 STONY POINT RD STE 17
SANTA ROSA, CA 95407
Sonoma County (707) 303-3600
ALLISON JHIN DO
Pediatrics
711 STONY POINT RD STE 17
SANTA ROSA, CA 95407
Sonoma County (707) 578-2005

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 Alexandra Fontanilla's NPI number?

The NPI number for Alexandra Fontanilla is 1710536628. It was assigned to this individual provider in the NPPES registry on September 4, 2019.

Where is Alexandra Fontanilla located?

Alexandra Fontanilla practices at 711 Stony Point Rd Ste 17, Santa Rosa, CA 95407. The listed phone number is (707) 303-3600.

What is Alexandra Fontanilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Alexandra Fontanilla was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.