Healthcare Provider Details

I. General information

NPI: 1205313558
Provider Name (Legal Business Name): YOGITA MOSALPURIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2018
Last Update Date: 08/09/2025
Certification Date: 08/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2455 BENNETT VALLEY RD STE C219
SANTA ROSA CA
95404-5651
US

IV. Provider business mailing address

2455 BENNETT VALLEY RD STE C219
SANTA ROSA CA
95404-5651
US

V. Phone/Fax

Practice location:
  • Phone: 707-522-1800
  • Fax: 707-400-6044
Mailing address:
  • Phone: 707-522-1800
  • Fax: 707-400-6044

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 TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberDO23220
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberMD487691
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: