# PROVIDENCE MEDICAL GROUP, NORTHERN CALIFORNIA — Form D

PROVIDENCE MEDICAL GROUP, NORTHERN CALIFORNIA of SANTA ROSA, CA, a company, filed a Form D exempt-offering notice with the SEC on 2022-07-12. The offering totals $246K, of which $246K was reported sold. Industry: Hospitals and Physicians.

## Offering

- Filed: 2022-07-12
- Form: D
- Accession: 0001937800-22-000001
- Industry: Hospitals and Physicians
- Exemptions: 06b
- Total offering: $246K
- Amount sold: $246K
- Minimum investment: $2K
- Investors: 164
- Date of first sale: 2022-07-01
- Security types: equity
- Revenue range: Decline to Disclose
- SEC file number: 021-452057

## Issuer

- Name: PROVIDENCE MEDICAL GROUP, NORTHERN CALIFORNIA
- CIK: 0001937800
- Entity type: Corporation
- Jurisdiction: CALIFORNIA
- Incorporated: 2022
- Address: 185 SOTOYOME STREET, SANTA ROSA, CA, 95405
- Phone: 707-387-3927

## Officers, directors & promoters (17)

| Name | Role | Location |
| --- | --- | --- |
| Abhijit B Adhye, M.D. | Director | Santa Rosa, CA |
| Deborah B Britt, M.D. | Director | Santa Rosa, CA |
| Jeannette B Currie, M.D. | Director | Santa Rosa, CA |
| Daniel B Gilbert, D.O. | Director | Santa Rosa, CA |
| Susana B Gonzalez, M.D. | Director | Santa Rosa, CA |
| Gregory B Houghton, M.D. | Director | Santa Rosa, CA |
| Leo B Leer, M.D. | Director | Santa Rosa, CA |
| Erik B McGoldrick, M.D. | Director | Santa Rosa, CA |
| Mark B Pardoe, M.D. | Director | Santa Rosa, CA |
| Avinash B Ramchandani, M.D. | Director | Santa Rosa, CA |
| Paul B Shen, M.D. | Director | Santa Rosa, CA |
| Abhijit B Adhye, M.D. | Executive Officer | Santa Rosa, CA |
| John B Aryanpur, M.D. | Executive Officer | Santa Rosa, CA |
| Jeannette B Currie, M.D. | Executive Officer | Santa Rosa, CA |
| Gregory B Houghton, M.D. | Executive Officer | Santa Rosa, CA |
| Leo B Leer, M.D. | Executive Officer | Santa Rosa, CA |
| Mark B Pardoe, M.D. | Executive Officer | Santa Rosa, CA |

## More

- [CIK 1937800 on SEC EDGAR (source of record)](https://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=1937800&type=&dateb=&owner=include&count=40)
- [This page as markdown (for LLM agents)](https://search.stillhousedata.com/formd/0001937800-22-000001.md)
- [Search all SEC filings, advisers and people on Adviser Search](https://search.stillhousedata.com/)

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