| NPI | 1366205460 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2024-02-01 |
| Last Updated | 2024-02-01 |
| Authorized Official | Scott Fujii Authorized Official Phone: 9162000087 |
| Mailing Address | 3536 Mendocino Ave Ste 300b Santa Rosa, CA 95403-3634 United States Phone: (707) 237-3410 | Fax: (833) 615-2399 📍 View Map |
| Primary Practice Address | 3536 Mendocino Ave Ste 300b Santa Rosa, CA 95403-3634 United States Phone: (707) 237-3410 | Fax: (833) 615-2399 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207XS0106X – Orthopaedic Surgery, Hand Surgery | - | - |
| No | 213ES0103X – Podiatrist, Foot & Ankle Surgery | - | - |
| No | 213ES0131X – | - | - |
| No | 363A00000X – Physician Assistant | - | - |
| Yes | 332B00000X – Durable Medical Equipment & Medical Supplies | - | - |
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About NPI 1366205460
Pnc Msk Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1366205460. The primary specialty listed is Durable Medical Equipment & Medical Supplies. The organization is located in Santa Rosa, CA. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2024-02-01. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1366205460?
NPI 1366205460 belongs to Pnc Msk Pc, a Durable Medical Equipment & Medical Supplies in Santa Rosa, CA. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1366205460 active?
The current status of NPI 1366205460 in the NPPES registry is Active. The record was last updated on 2024-02-01.
What specialty is NPI 1366205460?
NPI 1366205460 is classified under the taxonomy Durable Medical Equipment & Medical Supplies. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1366205460?
You can verify NPI 1366205460 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1366205460?
The primary practice address on file for NPI 1366205460 is 3536 Mendocino Ave Ste 300b, Santa Rosa, CA 95403-3634. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1366205460 issued?
NPI 1366205460 was first issued (enumerated) on 2024-02-01. The NPPES record was last updated on 2024-02-01.
Practice Location Map
Pnc Msk Pc is located at 3536 Mendocino Ave Ste 300b, Santa Rosa, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Pnc Msk Pc. All records sourced from the CMS NPPES registry.