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POINT REYES MEDICAL CLINIC
NPI 1053420844
Clinic/Center - Federally Qualified Health Center (FQHC) in Point Reyes Station, CA

Active since August 29, 2006CLIA Certified · 2 labs
3 SIXTH STREET, POINT REYES STATION, CA 94956(415) 663-8666(415) 663-9532 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 8, 2021, Jul 22, 2020, Jul 13, 2020 (3 updates tracked since 2020).

About Point Reyes Medical Clinic NPPES

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

POINT REYES MEDICAL CLINIC (NPI 1053420844) is a healthcare organization registered as a federally qualified health center (fqhc) in Point Reyes Station, California and active in the NPI registry since August 2006. The organization holds 2 active CLIA laboratory certificates and lists Molly Jouaneh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1053420844
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePETALUMA HEALTH CENTER INC
Location Address3 SIXTH STREETPoint Reyes Station, CA 94956-0910
Mailing Address1455 N Mcdowell Blvd Ste DPetaluma, CA 94954-6503 · (707) 559-7500
Phone(415) 663-8666
Fax(415) 663-9532
Organization SubpartNo
Authorized OfficialMolly JouanehCfo · (707) 559-7500
Enumeration DateAugust 29, 2006
Last NPPES UpdateJune 8, 20213 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
✔ NPI 1053420844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 110000399
3 SIXTH STREET, Point Reyes Station, CA 94956
Open in Google Maps ↗

Other Names 1

Doing Business AsPoint Reyes Medical Clinic

Other Identifiers 4

MedicaidBCP70434FCA
MedicaidEAP70434FCA
MedicaidHAP70434FCA
MedicaidFHC70434FCA

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0674680

Point Reyes Medical Clinic · Point Reyes Station, CA
Active · expires Feb 14, 2027
CLIA Number05D0674680
Laboratory TypeCommunity Clinic
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorAnna K. O Malley MD
Laboratory Phone(415) 663-8666
Laboratory LocationPoint Reyes Medical Clinic3 Sixth St, Point Reyes Station, CA 94956
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0919899

Petaluma Health Center · Petaluma, CA
Active · expires Aug 11, 2027
CLIA Number05D0919899
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateAugust 12, 2025
Certificate Expiration DateAugust 11, 2027
Laboratory DirectorNurit Licht, MD
Laboratory Phone(707) 559-7500
Laboratory LocationPetaluma Health Center1179 N Mcdowell Blvd, Petaluma, CA 94954
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 3

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

MS. MARY R CLARK FNP, CNM
Nurse Practitioner (Family)
3 SIXTH STREET
POINT REYES, CA 94956
Marin County (415) 663-8666
DR. MICHAEL JONATHAN WITTE M.D.
Family Medicine
3 SIXTH STREET
POINT REYES STATION, CA 94956
Marin County (415) 663-8666
MS. ELLEN M. CHRISTIANSEN MSN, FNP
Registered Nurse (General Practice)
3 SIXTH STREET
POINT REYES STATION, CA 94956
Marin County (415) 663-8666

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 Petaluma Health Center Inc's NPI number?

The NPI number for Petaluma Health Center Inc is 1053420844. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is Petaluma Health Center Inc located?

Petaluma Health Center Inc is located at 3 Sixth Street, Point Reyes Station, CA 94956. The listed phone number is (415) 663-8666.

What is Petaluma Health Center Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Petaluma Health Center Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Petaluma Health Center Inc was last updated on June 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.