Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scog Physician Assistant Corporation

Organization Primary Care Clinic/Center · NPI 1457281552

Scog Physician Assistant Corporation is a Primary Care Clinic/Center in Santa Rosa, California. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1688 Tecado Dr
Santa Rosa, CA 95403-7976
Phone: (707) 602-0013
Fax: (707) 581-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X

Record details

NPI number1457281552
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ruth Volkenant — Owner · (707) 602-0013
NPI enumeratedMay 20, 2026
Last updated in NPPESMay 20, 2026
Certification dateApril 29, 2026
Mailing address1688 Tecado Dr, Santa Rosa, CA 95403-7976

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