# NORTH BAY MEDICAL GROUP SURGERY CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639220189
- **Authorized official:** ERIC JAMES KRAUT M.D. (PRESIDENT)
- **Authorized official phone:** (707) 591-0619

## Contact information

- **Practice address:** 4415 SONOMA HWY, SUITE B, SANTA ROSA, CA 95409-7100
- **Practice address phone:** (707) 591-0619
- **Practice address fax:** (707) 591-0617
- **Mailing address:** 3850 MONTGOMERY DR, SUITE D, SANTA ROSA, CA 95405-5207
- **Mailing address phone:** (707) 591-0619
- **Mailing address fax:** (707) 591-0617

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | AS1628 | CA | Yes |

## Other

- **Enumeration date:** 01/12/2007
- **Last updated:** 07/21/2008