Healthcare Provider Details

I. General information

NPI: 1154245140
Provider Name (Legal Business Name): CLAUDIA HINTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2285 CHALLENGER WAY
SANTA ROSA CA
95407-5418
US

IV. Provider business mailing address

193 WINSTON DR
SANTA ROSA CA
95407-7812
US

V. Phone/Fax

Practice location:
  • Phone: 707-569-2300
  • Fax:
Mailing address:
  • Phone: 707-480-1456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164X00000X
TaxonomyLicensed Vocational Nurse
License Number692484
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: