ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC; NPI #1326174319

Contact Information

ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

751 LOMBARDI CT
SANTA ROSA, CA 95407

Phone: 707-547-2237
Fax: 707-547-2230
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

NPI Number 1326174319

LBN Legal business name ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

Authorized official DONALD ANDERSON - (ASSISTANT SECRETARY OF ENROLLMENTS)

Entity Organization

Organization subpart ¹ Yes

Enumeration date 02/26/2007

Last updated 05/07/2025 - More than a year ago

Identifiers

CA	License #	110000498
CA	Other	G9048301	MEDICAL PROVIDER NUMBER

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

Contact Information

Specialty

Dental

NPI Profile & details for ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC

Reviews for ST. JOSEPH HEALTH NORTHERN CALIFORNIA, LLC