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EL ROSE MEDICAL GROUP
NPI 1902976236
Family Medicine in Petaluma, CA

Active since November 08, 2006
24 WEST EL ROSE AVE, PETALUMA, CA 94952(707) 763-9891(707) 763-9896 Get Directions Write a Review

NPPES record last updated: July 8, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About El Rose Medical Group NPPES

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

EL ROSE MEDICAL GROUP (NPI 1902976236) is a healthcare organization registered as a family medicine in Petaluma, California and active in the NPI registry since November 2006. The organization lists David A Sisler, Owner, as its authorized official.

NPPES Registry Identity

NPI1902976236
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameEL ROSE MEDICAL GROUP
Location Address24 WEST EL ROSE AVEPetaluma, CA 94952
Mailing Address24 West El Rose AvePetaluma, CA 94952 · (707) 763-9891 · Fax (707) 763-9896
Phone(707) 763-9891
Fax(707) 763-9896
Organization SubpartNo
Authorized OfficialDavid A SislerOwner · (707) 763-9491
Enumeration DateNovember 8, 2006
Last NPPES UpdateJuly 8, 2008
✔ NPI 1902976236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
24 WEST EL ROSE AVE, Petaluma, CA 94952
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Other Identifiers 12

Medicare ID-Type UnspecifiedZZZ75987ZInd #
OtherAROSE0543Blue Cross Blue Shield
OtherC17753State License #
OtherCP6140Railroad Medicare
OtherZZZ75987ZMedi Cal Grp #
Medicare UPINA31088
Medicare ID-Type UnspecifiedZZZ75987ZGrp #
OtherZZZ75987ZMedi Cal
Medicare UPINA41180
OtherG21106State License #
Medicare UPINA33142
OtherC26495State License #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 El Rose Medical Group's NPI number?

The NPI number for El Rose Medical Group is 1902976236. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is El Rose Medical Group located?

El Rose Medical Group is located at 24 West El Rose Ave, Petaluma, CA 94952. The listed phone number is (707) 763-9891.

What is El Rose Medical Group's specialty?

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

When was this NPI record last updated?

The NPPES record for El Rose Medical Group was last updated on July 8, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.