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Contact Information

ANANDI S OHKUBO
1501 MEDOCINO AVENUE
STUDENT HEALTH SERVICES
SANTA ROSA, CA95401
 Phone: 707-524-1513
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

College Health

163WC1400X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ANANDI S OHKUBO · (Female)

NPI Number 1912793977
Status Active
Credentials
Entity Individual
Enumeration date 04/16/2025
Last updated 04/26/2026 - About a month ago
Sole proprietor 1 No
Identifiers
  • CA License # 95039154
  • CA License # 95366693
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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