KEDHAR WALLACE BARTLETT EMT-B
NPI 1023997079
Rehabilitation Practitioner in Petaluma, CA

Active since September 02, 2025
1500 PETALUMA BLVD S, PETALUMA, CA 94952(707) 765-8488 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kedhar Wallace Bartlett Emt-b NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEDHAR WALLACE BARTLETT EMT-B (NPI 1023997079) is an individual rehabilitation practitioner in Petaluma, California and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1023997079
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NameKEDHAR WALLACE BARTLETTCredential: EMT-B
Location Address1500 PETALUMA BLVD SPetaluma, CA 94952-5545
Mailing Address1500 Petaluma Blvd SPetaluma, CA 94952-5545 · (707) 765-8488
Sole ProprietorNo
Enumeration DateSeptember 2, 2025
NPPES CertifiedSeptember 2, 2025
NPI 1023997079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
1500 PETALUMA BLVD S, Petaluma, CA 94952

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Rehabilitation Practitioner
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Community/Behavioral Health
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Day Training/Habilitation Specialist
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Counselor (Mental Health)
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Marriage & Family Therapist
1500 PETALUMA BLVD S, SUITE A
PETALUMA, CA 94952
Day Training/Habilitation Specialist
1500 PETALUMA BLVD S
PETALUMA, CA 94952
Counselor
1500 PETALUMA BLVD S, #A
PETALUMA, CA 94952

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kedhar Bartlett's NPI number?

The NPI number for Kedhar Bartlett is 1023997079. It was assigned to this individual provider in the NPPES registry on September 2, 2025.

Where is Kedhar Bartlett located?

Kedhar Bartlett practices at 1500 Petaluma Blvd S, Petaluma, CA 94952. The listed phone number is (707) 765-8488.

What is Kedhar Bartlett's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Kedhar Bartlett was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.