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DUTTON CAMPUS
NPI 1780195255
Clinic/Center - Federally Qualified Health Center (FQHC) in Santa Rosa, CA

Active since October 23, 2017
1300 N DUTTON AVE, SANTA ROSA, CA 95401(707) 303-3600 Get Directions Write a Review

NPPES record last updated: December 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 9, 2022, Jun 16, 2018, Oct 23, 2017 (3 updates tracked since 2017).

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

NPI1780195255
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSANTA ROSA COMMUNITY HEALTH CENTERS
Location Address1300 N DUTTON AVESanta Rosa, CA 95401-7112
Mailing Address3569 Round Barn CirSanta Rosa, CA 95403-5781 · (707) 303-3600
Phone(707) 303-3600
Organization SubpartYes
Authorized OfficialGabriela Bernal-leroiDirector Of Revenue Cycle · (707) 303-3600
Enumeration DateOctober 23, 2017
Last NPPES UpdateDecember 9, 20223 updates tracked since enumeration
NPPES CertifiedDecember 9, 2022
✔ NPI 1780195255 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
1300 N DUTTON AVE, Santa Rosa, CA 95401
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Other Names 1

Other NameDutton Campus

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.

MRS. ERIN O. LIIV LCSW
Social Worker (Clinical)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600
MS. ELLEN HIER GREEN M.D.
Family Medicine
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 965-1513
WINTA HAILE NP
Nurse Practitioner (Family)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 303-3600
AMY MARIE POPPLEWELL NP
Nurse Practitioner (Family)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 396-5151
DR. DOUGLAS JIMENEZ M.D.
Family Medicine
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 459-6861
NICOLE BAYARD DNP, FNP, APRN
Nurse Practitioner (Family)
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 396-5151
BRIGA INANNA MULLIN MD
Family Medicine
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 396-5151
ANDREA VALENZUELA
Dental Hygienist
1300 N DUTTON AVE
SANTA ROSA, CA 95401
Sonoma County (707) 380-6054

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.

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.