MEDICARE: DIVINE FIJIANS HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1437002672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DIVINE FIJIANS HOME CARE

Provider Business Mailing Address
First Line	:	3270 MENDOCINO AVE
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-2263
Country	:	US
Telephone Number	:	916-391-8933
Fax Number	:	707-800-7679

Provider Business Practice Location Address
First Line	:	3270 MENDOCINO AVE
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95403-2263
Country	:	US
Telephone Number	:	916-391-8933
Fax Number	:	707-800-7679

Authorized Official
Title or Position	:	CHIEF OPERATION OFFICER
Name	:	MR. SANAILA SERU MATAKIBAU
Credential	:
Telephone Number	:	510-432-1227

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

Similar Medicare Providers

1033141254 — CENTRAL COAST KIDNEY DISEASE CENTER INC.
Practice Location Address:

2263 S. DEPOT RD.
SANTA MARIA, CA
93455

Practice Phone: 805-349-8600
Practice Fax: 805-928-5145

1235594656 — TOTAL RENAL CARE INC
Practice Location Address:

2263 S DEPOT ST
SANTA MARIA, CA
93455-1216

Practice Phone: 805-349-8600
Practice Fax: 805-928-5145

1083563324 — JENELYN V HENSEL
Practice Location Address:

1694 TECADO DR
SANTA ROSA, CA
95403-7976

Practice Phone: 707-535-9618
Practice Fax:

1265878938 — MARIA GUADALUPE JUAREZ SANCHEZ LCSW
Practice Location Address:

1014 HOPPER AVE STE 601
SANTA ROSA, CA
95403-1613

Practice Phone: 831-210-3305
Practice Fax:

1558299255 — KELLIE ROBIN FOSS RDN
Practice Location Address:

401 BICENTENNIAL WAY
SANTA ROSA, CA
95403-2149

Practice Phone: 707-393-4000
Practice Fax:

1588592166 — DANIEL CHO PHARMD, APH
Practice Location Address:

3883 AIRWAY DR STE 300
SANTA ROSA, CA
95403-1671

Practice Phone: 707-521-7750
Practice Fax:

Directions to “DIVINE FIJIANS HOME CARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.