Healthcare Provider Details

I. General information

NPI: 1457498636
Provider Name (Legal Business Name): COUNTY OF SONOMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2227 CAPRICORN WAY STE 201&207&211&213
SANTA ROSA CA
95407-5478
US

IV. Provider business mailing address

2227 CAPRICORN WAY STE 201&207&211&213
SANTA ROSA CA
95407-5478
US

V. Phone/Fax

Practice location:
  • Phone: 707-565-4810
  • Fax:
Mailing address:
  • Phone: 707-565-4810
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RUBY ZHANG
Title or Position: DEPARTMENT ANALYST
Credential:
Phone: 707-565-7846