DUTTON CAMPUS
NPI 1780195255
Clinic/Center - Federally Qualified Health Center (FQHC) in Santa Rosa, CA
About Dutton Campus NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUTTON CAMPUS (NPI 1780195255) is a healthcare organization registered as a federally qualified health center (fqhc) in Santa Rosa, California and active in the NPI registry since October 2017. The organization lists Gabriela Bernal-leroi, Director Of Revenue Cycle, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dutton Campus is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
212Medicare enrollment records show 212 clinicians reassign Medicare billing to Dutton Campus, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 156 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 212Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Santa Rosa Community Health Centers's NPI number?
The NPI number for Santa Rosa Community Health Centers is 1780195255. It was assigned to this organization in the NPPES registry on October 23, 2017. The provider is also known as Dutton Campus.
Where is Santa Rosa Community Health Centers located?
Santa Rosa Community Health Centers is located at 1300 N Dutton Ave, Santa Rosa, CA 95401. The listed phone number is (707) 303-3600.
What is Santa Rosa Community Health Centers's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Santa Rosa Community Health Centers enrolled in Medicare?
Yes. Santa Rosa Community Health Centers is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Santa Rosa Community Health Centers?
According to the CMS Revalidation Reassignment List (October 2026 release), 212 clinicians in 25 Medicare specialties reassign their Medicare billing to Santa Rosa Community Health Centers. 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. The largest specialties are Family Practice (73), Nurse Practitioner (66) and Dentist (12). Of these, 16 practice at this address and 156 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Santa Rosa Community Health Centers was last updated on December 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dutton Campus · NPI 1780195255
Federally Qualified Health Center (FQHC) organization in Santa Rosa, California. Organization record, active in the CMS NPPES registry since October 23, 2017.
## Identity
- **NPI:** 1780195255 (Entity type: Organization)
- **Enumerated:** October 23, 2017
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Santa Rosa Community Health Centers
- **Organization subpart:** Yes (part of Santa Rosa Community Health Centers)
- **Authorized official:** Gabriela Bernal-Leroi, DIRECTOR OF REVENUE CYCLE
## Practice location
- **Address:** 1300 N DUTTON AVE, Santa Rosa, CA 95401-7112
- **Phone:** (707) 303-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 212 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (73), Nurse Practitioner (66), Dentist (12); 16 practice at this address and 156 within 10 miles; [full list](https://npiprofile.com/npi/1780195255/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 9, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1780195255) · Data from the CMS NPPES public registry.