PETALUMA HEALTH CENTER INC (NPI# 1669870739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669870739 |
| Entity Type | Organization |
| Organization Name | PETALUMA HEALTH CENTER INC |
| Other Organization Name | ROHNERT PARK HEALTH CENTER |
| Practice Address |
5900 State Farm Dr Rohnert Park CA 94928-2149 |
| Mailing Address |
1179 N Mcdowell Blvd Petaluma CA 94954-6559 |
| Practice Telephone | 7075597500 |
| Practice Fax Number | 7075597620 |
| Enumeration Date | 2014-12-05 |
| Last Update Date | 2019-07-09 |
| Authorized Official Name | MR. PEDRO TOLEDO (INTERIM CEO) |
| Authorized Official Telephone | 7075597692 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
110000313 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Rohnert Park Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295370195 | Petaluma Health Center Inc | Pharmacy | 5900 State Farm Dr Ste 200a, Rohnert Park, CA 94928-2149 | 2019-11-14 |
| 1588656268 | Petaluma Health Center Inc | Clinic/Center | 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | 2005-08-18 |
| Street Address |
5900 STATE FARM DR |
| City | ROHNERT PARK |
| State | CA |
| Zip Code | 94928-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306871686 | Maury Schulkin | Family Medicine | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 | 2006-07-12 |
| 1720512288 | Sandy Batarseh | Pharmacist | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 | 2017-04-11 |
| 1588195887 | Viviane Lam | Pharmacist | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 | 2017-03-27 |
| 1245772607 | Jacqueline Uy | Dentist | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 | 2016-11-16 |
| 1780132324 | Jillian Durrell Geissler | Registered Nurse | 5900 State Farm Dr, 2nd Floor, Rohnert Park, CA 94928-2149 | 2016-09-12 |
| 1689097016 | Aaron Middleton | Pharmacist | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 | 2014-01-21 |
| 1073803722 | Ashmi Ullal | Family Medicine | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 | 2011-04-14 |
| 1194952242 | Parisa Navi | Pediatrics | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 | 2009-06-16 |
| 1760626618 | Kari R Foulke | Family Medicine | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 | 2009-04-22 |
| 1144495326 | Steven Gelber | Internal Medicine | 5900 State Farm Dr, Rohnert Park, CA 94928-2149 | 2008-04-28 |
| Find all providers in the same location | ||||
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|---|---|---|---|---|
| 1558961789 | Graton Transportation Service LLC | Taxi | 6071 Donna Ct, Rohnert Park, CA 94928 | 2020-10-27 |
| 1720636145 | Nicole Merryman | Dietitian, Registered | 150 Raleys Towne Centre, #3033, Rohnert Park, CA 94928 | 2019-08-28 |
| 1720518368 | Mary Elizabeth Sturgeon | Dentist | Rohnert Park Health Center Dental, 5900 State Farm Dr., 2nd Floor, Rohnert Park, CA 94928 | 2017-06-15 |
| 1932558491 | Carmen Pomares | Acupuncturist | 6040 Commerce Blvd Ste 105, Rohnert Park, CA 94928 | 2016-06-06 |
| 1689049215 | Hochima Denise Treppa | Marriage & Family Therapist | No. 2 Padre Town Center, Suite 100, Rohnert Park, CA 94928 | 2015-12-08 |
| 1457722282 | Joel Reynolds | Counselor | 5430 Commerce Blvd, 2g, Rohnert Park, CA 94928 | 2015-10-20 |
| 1932570272 | Jessica Wendt | Pharmacy Technician | 512 Ava Ave, Rohnet Pak, CA 94928 | 2015-10-13 |
| 1386992972 | Judith Alden Gould | Registered Nurse | 372 City Center Drive, Rohnert Park, CA 94928 | 2012-08-29 |
| 1316216476 | Cynthia Morfin | Counselor | 496 Santa Alicia Drive, Rohnert Park, CA 94928 | 2011-12-19 |
| 1255641411 | Anka Behavorial Health, Inc. | Community/Behavioral Health | 1033 San Francisco Way, Rohnert Park, CA 94928 | 2010-10-20 |
| Find all providers in zip 94928 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| City | ROHNERT PARK |
| Zip Code | 94928 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.