Healthcare Provider Details

I. General information

NPI: 1033739735
Provider Name (Legal Business Name): SETH RAMIN ASHRAF DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2020
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 CONCOURSE BLVD STE 1
SANTA ROSA CA
95403-8210
US

IV. Provider business mailing address

208 CONCOURSE BLVD STE 1
SANTA ROSA CA
95403-8210
US

V. Phone/Fax

Practice location:
  • Phone: 707-544-3400
  • Fax: 707-544-0137
Mailing address:
  • Phone: 707-544-3400
  • Fax: 707-544-0137

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number692178
License Number StateTX
# 3
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberE6173
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number692178
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: