1. Home
  2. Directory
  3. California
  4. Petaluma
  5. Clinic Center
  6. NPI Profile

PACIFIC RESTORATIVE CENTER
NPI 1083080717
Clinic/Center - Ambulatory Surgical in Petaluma, CA

Active since August 17, 2015
1456 PROFESSIONAL DRIVE, SUITE 404, PETALUMA, CA 94954(707) 800-7633(707) 843-3485 Get Directions Write a Review

NPPES record last updated: May 12, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pacific Restorative Center NPPES

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

PACIFIC RESTORATIVE CENTER (NPI 1083080717) is a healthcare organization registered as an ambulatory surgical in Petaluma, California and active in the NPI registry since August 2015. The organization lists Jason Pope, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1083080717
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePACIFIC RESTORATIVE CENTER
Location Address1456 PROFESSIONAL DRIVE, SUITE 404Petaluma, CA 94954
Mailing Address1456 Professional Drive, Suite 404Petaluma, CA 94954 · (707) 800-7633 · Fax (707) 843-3485
Phone(707) 800-7633
Fax(707) 843-3485
Organization SubpartNo
Authorized OfficialJason PopeMedical Director · (707) 623-9803
Enumeration DateAugust 17, 2015
Last NPPES UpdateMay 12, 2017
✔ NPI 1083080717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1456 PROFESSIONAL DRIVE, Petaluma, CA 94954
Open in Google Maps ↗

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 Pacific Restorative Center's NPI number?

The NPI number for Pacific Restorative Center is 1083080717. It was assigned to this organization in the NPPES registry on August 17, 2015.

Where is Pacific Restorative Center located?

Pacific Restorative Center is located at 1456 Professional Drive Suite 404, Petaluma, CA 94954. The listed phone number is (707) 800-7633.

What is Pacific Restorative Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Pacific Restorative Center was last updated on May 12, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.