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FMCPS SANTA ROSA LLC
NPI 1881068443
Internal Medicine - Nephrology in Santa Rosa, CA

Active since November 19, 2015
435 DOYLE PARK DR, SANTA ROSA, CA 95405(707) 527-9510(602) 798-8267 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fmcps Santa Rosa Llc NPPES

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

FMCPS SANTA ROSA LLC (NPI 1881068443) is a healthcare organization registered as a nephrology in Santa Rosa, California and active in the NPI registry since November 2015. The organization lists Pamela Young, Corporate Vp, as its authorized official.

NPPES Registry Identity

NPI1881068443
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameFMCPS SANTA ROSA LLC
Location Address435 DOYLE PARK DRSanta Rosa, CA 95405-4515
Mailing Address3820 W Happy Valley Rd, Suite 141-120Glendale, AZ 85310-3289 · (844) 540-8736 · Fax (602) 798-8267
Phone(707) 527-9510
Fax(602) 798-8267
Organization SubpartNo
Authorized OfficialPamela YoungCorporate Vp · (480) 639-7185
Enumeration DateNovember 19, 2015
✔ NPI 1881068443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
435 DOYLE PARK DR, Santa Rosa, CA 95405
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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

Other Providers at the Same Location NPPES 5

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

DR. CARL WILSON MD
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
SANTA ROSA KIDNEY CARE PC
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
DR. JILL ELIZABETH EDISON MD
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
CARL WILSON MD INC & JILL EDISON MD
Internal Medicine (Nephrology)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510
SIMY SURESH ANTONY NP
Nurse Practitioner (Family)
435 DOYLE PARK DR
SANTA ROSA, CA 95405
Sonoma County (707) 527-9510

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 Fmcps Santa Rosa LLC's NPI number?

The NPI number for Fmcps Santa Rosa LLC is 1881068443. It was assigned to this organization in the NPPES registry on November 19, 2015.

Where is Fmcps Santa Rosa LLC located?

Fmcps Santa Rosa LLC is located at 435 Doyle Park Dr, Santa Rosa, CA 95405. The listed phone number is (707) 527-9510.

What is Fmcps Santa Rosa LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Fmcps Santa Rosa LLC was last updated on November 19, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.