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ATTENDA MEDICAL GROUP INC
NPI 1740866615
Family Medicine in Santa Rosa, CA

Active since March 22, 2021CLIA 05D2169114 · Waiver
1701 4TH ST STE 100, SANTA ROSA, CA 95404(707) 575-6033 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 30, 2021, May 28, 2021, Mar 26, 2021 (3 updates tracked since 2021).

About Attenda Medical Group Inc NPPES

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

ATTENDA MEDICAL GROUP INC (NPI 1740866615) is a healthcare organization registered as a family medicine in Santa Rosa, California and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through November 9, 2027, maintains 3 additional practice locations, and lists Roberta Lee, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740866615
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameATTENDA MEDICAL GROUP INC
Location Address1701 4TH ST STE 100Santa Rosa, CA 95404-3661
Mailing Address3510 Unocal Pl Ste 207Santa Rosa, CA 95403-0918 · (707) 275-6383 · Fax (707) 545-5408
Phone(707) 575-6033
Organization SubpartNo
Authorized OfficialRoberta LeeCeo · (707) 275-6383
Enumeration DateMarch 22, 2021
Last NPPES UpdateSeptember 30, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2021
✔ NPI 1740866615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X
Also ListedPodiatristTaxonomy 213E00000X
1701 4TH ST STE 100, Santa Rosa, CA 95404
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11116 B StPetaluma, CA 94952-4054 · Phone (707) 782-9123 · Fax (707) 782-9622
Location 245081 Little Lake StMendocino, CA 95460-9618 · Phone (707) 937-1055 · Fax (707) 937-1061
Location 3506 S Main StSebastopol, CA 95472-4261 · Phone (707) 829-5455 · Fax (707) 824-9235

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Attenda Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Attenda Medical Group Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Ashleigh Korves, DPM
Podiatry
NPI 1194979278
4750 HOEN AVE STE B
Santa Rosa, CA 95405
(707) 575-6033
✔ PECOS✔ Accepts Medicare2.0 mi
James Leoni, M.D.
Family Practice
NPI 1205936861
104 LYNCH CREEK WAY STE 10
Petaluma, CA 94954
(707) 782-9123
✔ PECOS✔ Accepts Medicare14 mi
Jeffrey Berenson, MD
Internal Medicine
NPI 1902828619
45081 LITTLE LAKE STREET
Mendocino, CA 95460
(707) 937-1055
✔ PECOS✔ Accepts Medicare84 mi
Carla Stange, FNP
Nurse Practitioner
NPI 1780769166
45081 LITTLE LAKE ST
Mendocino, CA 95460
(707) 937-1055
✔ PECOS84 mi
Sharon Hunter, NP
Nurse Practitioner
NPI 1710919857
45081 LITTLE LAKE ST
Mendocino, CA 95460
(707) 937-1055
✔ PECOS84 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 of Waiver 05D2169114

Attenda Medical Group · Petaluma, CA
Active · expires Nov 9, 2027
CLIA Number05D2169114
Laboratory TypePhysician Office
Certificate Effective DateNovember 10, 2025
Certificate Expiration DateNovember 9, 2027
Laboratory DirectorJames F. Leoni
Laboratory Phone(707) 782-9123
Laboratory LocationAttenda Medical Group1116 B Street, Petaluma, CA 94952
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Attenda Medical Group Inc's NPI number?

The NPI number for Attenda Medical Group Inc is 1740866615. It was assigned to this organization in the NPPES registry on March 22, 2021.

Where is Attenda Medical Group Inc located?

Attenda Medical Group Inc is located at 1701 4th St Ste 100, Santa Rosa, CA 95404. The listed phone number is (707) 575-6033.

What is Attenda Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Attenda Medical Group Inc enrolled in Medicare?

Yes. Attenda Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Attenda Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Attenda Medical Group Inc, in Family Practice, Internal Medicine, Nurse Practitioner and Podiatry. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Attenda Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2169114) is associated with this NPI, valid through November 9, 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 Attenda Medical Group Inc was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.