MEDICARE: MS. ROSEANNA M DUENAS P.A.-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	53976	CA

General Provider Information

NPI Number	:	1417488073
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROSEANNA M DUENAS P.A.-C

Provider Business Mailing Address
First Line	:	PO BOX 7019
Second Line	:
City	:	COTATI
State	:	CA
Zip	:	94931-7019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 LONE PINE RD
Second Line	:
City	:	SEBASTOPOL
State	:	CA
Zip	:	95472-5623
Country	:	US
Telephone Number	:	707-861-1187
Fax Number	:	707-261-0786

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2017
Last Update Date	:	03/10/2026

Similar Medicare Providers

1740136068 — PHYSICIAN ASSISTANT CONSULTS INC, DBA INTRINSIC WELLNESS
Practice Location Address:

6400 LONE PINE RD
SEBASTOPOL, CA
95472-5623

Practice Phone: 707-861-1187
Practice Fax: 707-261-0786

1942158910 — ALFREDO MURO RODRIGUEZ
Practice Location Address:

1800 HWY 116 N
SEBASTOPOL, CA
95472-2607

Practice Phone: 707-634-9063
Practice Fax: 707-823-3410

1063138451 — LAUREN SCHNEIDER LMFT
Practice Location Address:

438 EDDIE LN
SEBASTOPOL, CA
95472-3425

Practice Phone: 707-823-8722
Practice Fax:

1346451028 — WEST SONOMA COUNTY UNION HIGH SCHOOL DISTRICT
Practice Location Address:

462 JOHNSON ST
SEBASTOPOL, CA
95472-3431

Practice Phone: 707-829-6403
Practice Fax:

1558216879 — MS. KALIA DENISE MUSSETTER MPSSWMYBVZ
Practice Location Address:

699 HWY 116 N APT 58
SEBASTOPOL, CA
95472-2835

Practice Phone: 707-824-0282
Practice Fax:

1134122690 — JAMES F. YUSUF Q. ERSKINE D.O.
Practice Location Address:

1346 HIGH SCHOOL RD
SEBASTOPOL, CA
95472-2621

Practice Phone: 707-824-8683
Practice Fax: 707-824-9235

Directions to “ MS. ROSEANNA M DUENAS P.A.-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.