Karla Mogollan
Community Health Worker in Santa Rosa, CA. Individual provider (NPI-1).
NPI number1104548973
StatusActive
Last updated in NPPESSep 16, 2022
Details
- NPI
- 1104548973
- Entity type
- Individual (NPI-1)
- Name
- Karla Mogollan
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2022
- Certification date
- Sep 16, 2022
- Last updated
- Sep 16, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
1260 N Dutton Ave Ste 220Santa Rosa, CA 95401-4686
Phone 707-568-2300
Mailing address
1260 N Dutton Ave Ste 220Santa Rosa, CA 95401-4686
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 112 Community Health Worker providers in Santa Rosa · All 8,142 providers in Santa Rosa
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