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MR. JOHN WILLIAM WICKENBURG P.T.
NPI 1750432597
Case Manager/Care Coordinator in Santa Rosa, CA

Active since January 16, 2007
401 BICENTENNIAL WAY, SANTA ROSA, CA 95403(707) 571-4633 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. John William Wickenburg P.t. NPPES

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

MR. JOHN WILLIAM WICKENBURG P.T. (NPI 1750432597) is an individual case manager/care coordinator provider in Santa Rosa, California, licensed in California (17669) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1750432597
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameMR. JOHN WILLIAM WICKENBURGCredential: P.T.
Location Address401 BICENTENNIAL WAYSanta Rosa, CA 95403-2149
Mailing Address1684 Norte WaySanta Rosa, CA 95404-2611 · (707) 525-1988 · Fax (707) 525-1988
Phone(707) 571-4633
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1750432597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
License✔ Licensed in CA · 17669
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
401 BICENTENNIAL WAY, Santa Rosa, CA 95403
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Other Providers at the Same Location NPPES 20

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

MS. JESSICA ANNE RUTLAND R.D.
Dietitian, Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4787
KURT FALKENBERG P.T.
Physical Therapist
401 BICENTENNIAL WAY, EAST BUILDING, SUITE 190
SANTA ROSA, CA 95403
Sonoma County (707) 571-3352
DELILAH PATTERSON CRNA
Nurse Anesthetist, Certified Registered
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4616
KRISZTINA J. BALAZS MD
Pediatrics
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
JOHN F. KUNKEL MD
Pathology (Anatomic Pathology)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-4000
CRISTINA COREY SCHROEN LCSW
Social Worker (Clinical)
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 571-2536
JIE GIOK RAHARDJA PHARMD
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (707) 393-4652
CONOR WILLIAM BOWMAN PHARM.D.
Pharmacist
401 BICENTENNIAL WAY
SANTA ROSA, CA 95403
Sonoma County (818) 522-1238

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 John Wickenburg's NPI number?

The NPI number for John Wickenburg is 1750432597. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is John Wickenburg located?

John Wickenburg practices at 401 Bicentennial Way, Santa Rosa, CA 95403. The listed phone number is (707) 571-4633.

What is John Wickenburg's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for John Wickenburg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.