Pnc Msk PC
Pnc Msk PC is a healthcare organization registered as Durable Medical Equipment & Medical Supplies in Santa Rosa, CA, holding Type 2 (organization) NPI 1366205460 since 2024. The authorized official on file is Scott Fujii, Authorized Official.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1366205460 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pnc Msk PC |
| Parent organization | Pnc Msk PC |
| Practice address | 3536 MENDOCINO AVE STE 300B, Santa Rosa, CA, 95403 |
| Phone | 7072373410 |
| Fax | 8336152399 |
| Enumeration date | 2024-02-01 |
| Last updated in NPPES | 2024-02-01 |
Authorized official
| Name | Scott Fujii |
|---|---|
| Title | Authorized Official |
| Phone | 9162000087 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207XS0106X | Orthopaedic Hand Surgery Physician | Secondary | — | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | Secondary | — | — |
| 213ES0131X | Foot Surgery Podiatrist | Secondary | — | — |
| 363A00000X | Physician Assistant | Secondary | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | Primary | — | — |
Copy-ready billing details
Provider: Pnc Msk PC NPI: 1366205460 Taxonomy: 332B00000X (Durable Medical Equipment & Medical Supplies) Address: 3536 MENDOCINO AVE STE 300B, Santa Rosa, CA, 95403
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1457996753 | Kristina Corley | Individual | Foot & Ankle Surgery Podiatrist | Santa Rosa, CA |
| 1770216855 | Pnc Msk, PC | Organization | Orthopaedic Surgery Physician | Santa Rosa, CA |
| 1508576117 | Bay Area Foot Care, Inc | Organization | Foot & Ankle Surgery Podiatrist | Santa Rosa, CA |
| 1316816580 | Bay Area Foot Care Inc | Organization | Foot & Ankle Surgery Podiatrist | Santa Rosa, CA |
Verify this record
Cross-check NPI 1366205460 against the authoritative CMS record: view Pnc Msk PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Pnc Msk PC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-01.