DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NORTH COAST FACULTY MEDICAL GROUP

MEDICARE: NORTH COAST FACULTY MEDICAL GROUP
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1578704300
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH COAST FACULTY MEDICAL GROUP
Provider Business Mailing Address
First Line : 3883 AIRWAY DR
Second Line : SUITE 300
City : SANTA ROSA
State : CA
Zip : 95403-1670
Country : US
Telephone Number : 707-521-8809
Fax Number : 707-521-8835
Provider Business Practice Location Address
First Line : 717 CENTER ST
Second Line :
City : HEALDSBURG
State : CA
Zip : 95448-3604
Country : US
Telephone Number : 707-433-7258
Fax Number : 707-433-8807
Authorized Official
Title or Position : PRESIDENT
Name : DR. STEVEN E LEVENBERG
Credential : DO
Telephone Number : 707-521-8879
Provider Enumeration Date : 03/06/2009
Last Update Date : 09/04/2009

Similar Medicare Providers

1073512661 — NORTHERN CALIFORNIA MEDICAL ASSOC INC
Practice Location Address:
717 CENTER ST
HEALDSBURG, CA
95448-3604
Practice Phone: 707-433-7214
Practice Fax: 707-433-8642
1770677957 — JONATHAN C ALBEG MD
Practice Location Address:
717 CENTER ST
HEALDSBURG, CA
95448-3604
Practice Phone: 707-433-7258
Practice Fax: 707-433-8807
1639242696 — PATRICIA DAHL M.D.
Practice Location Address:
717 CENTER ST
HEALDSBURG, CA
95448-3604
Practice Phone: 707-433-7258
Practice Fax: 707-433-8807
1346591104 — LAURA ANN BLACK F.N.P.
Practice Location Address:
717 CENTER ST
HEALDSBURG, CA
95448-3604
Practice Phone: 707-433-7258
Practice Fax:
1750875449 — CAMERON DUANE MACINNIS MD
Practice Location Address:
717 CENTER ST
HEALDSBURG, CA
95448-3604
Practice Phone: 707-473-0833
Practice Fax: 707-473-0843
1356497259 — DR. NINA MAISTERRA MD
Practice Location Address:
1381 UNIVERSITY ST
HEALDSBURG, CA
95448-3314
Practice Phone: 707-433-5494
Practice Fax: 707-433-0229

Directions to “NORTH COAST FACULTY MEDICAL GROUP ” 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.