MEDICARE: COUNTY OF SONOMA

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1881548626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF SONOMA

Provider Business Mailing Address
First Line	:	1450 NEOTOMAS AVE STE 200
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95405-7574
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	635 HEALDSBURG AVE
Second Line	:
City	:	SANTA ROSA
State	:	CA
Zip	:	95401-5123
Country	:	US
Telephone Number	:	707-565-4700
Fax Number	:

Authorized Official
Title or Position	:	ASO-1
Name	:	SEAN BARKER
Credential	:
Telephone Number	:	707-565-2637

Provider Enumeration Date	:	02/26/2026
Last Update Date	:	03/04/2026

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Directions to “COUNTY OF SONOMA ” Practice Location

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