Graduated: 1994
Offers telehealth
NPI: 1568488534
Practice Locations (3)
NORTHBAY HEALTH MEDICAL FOUNDATION
1860 PENNSYLVANIA AVE
FAIRFIELD, CA 945333590
7076464114
NORTHBAY PHYSICIANS SURGERY CENTER, LLC
1860 PENNSYLVANIA AVE, SUITE 200
FAIRFIELD, CA 945333550
7076464180
PROVIDENCE MEDICAL FOUNDATION
1162 MONTGOMERY DR, SUITE 200
SANTA ROSA, CA 954054802
7078904100
Source: CMS National Downloadable File, September 2026.