OrganizationActive
North Bay Medical Group Surgery Center
NPI 1639220189 · Ambulatory Surgical Clinic/Center · Santa Rosa, CA
Provider details
- NPI number
- 1639220189
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Eric Kraut, President(707) 591-0619
- License
- AS1628 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4415 Sonoma Hwy
Suite B
Santa Rosa, CA 95409-7100
Phone: (707) 591-0619
Fax: (707) 591-0617
Street-level locationGet directions
Mailing address
3850 Montgomery Dr
Santa Rosa, CA 95405-5207
Registry dates
- Enumerated
- 2007-01-12
- Last updated
- 2008-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.