Healthcare Provider Details

I. General information

NPI: 1861582322
Provider Name (Legal Business Name): CINDY OKADA SCHARFEN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 11/10/2021
Certification Date: 11/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3555 ROUND BARN CIR
SANTA ROSA CA
95403-1757
US

IV. Provider business mailing address

3555 ROUND BARN CIR
SANTA ROSA CA
95403-1757
US

V. Phone/Fax

Practice location:
  • Phone: 707-528-1050
  • Fax: 707-576-0445
Mailing address:
  • Phone: 707-528-1050
  • Fax: 707-576-0445

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberG67266
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2085R0203X
TaxonomyTherapeutic Radiology Physician
License NumberG67266
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: