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PETALUMA VALLEY INTERNAL MEDICINE INC
NPI 1326089806
Family Medicine - Adult Medicine in Sonoma, CA

Active since June 08, 2006
1250 BROADWAY, SONOMA, CA 95476(707) 262-6267(707) 734-7766 Get Directions Write a Review

NPPES record last updated: December 12, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Petaluma Valley Internal Medicine Inc NPPES

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

PETALUMA VALLEY INTERNAL MEDICINE INC (NPI 1326089806) is a healthcare organization registered as an adult medicine in Sonoma, California and active in the NPI registry since June 2006. The organization maintains 2 additional practice locations and lists David G Streeter, President, as its authorized official.

NPPES Registry Identity

NPI1326089806
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NamePETALUMA VALLEY INTERNAL MEDICINE INC
Location Address1250 BROADWAYSonoma, CA 95476-7500
Mailing Address1310 Commerce St #bPetaluma, CA 94954-1469 · (707) 778-7862 · Fax (707) 778-0969
Phone(707) 262-6267
Fax(707) 734-7766
Organization SubpartNo
Authorized OfficialDavid G StreeterPresident · (707) 765-1070
Enumeration DateJune 8, 2006
Last NPPES UpdateDecember 12, 2018
✔ NPI 1326089806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in CA · G55098
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
1250 BROADWAY, Sonoma, CA 95476
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Secondary Practice Locations 2

Location 1715 SOUTHPOINT BLVD SUITE CPETALUMA, CA 94954-1469 · Phone (707) 765-1070 · Fax (707) 765-0238
Location 2678 2nd St WSonoma, CA 95476-6901 · Phone (707) 262-6267 · Fax (707) 734-7766

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

MARK LUCK LITO VILLA CUBILLAS RPT
Physical Therapist
1250 BROADWAY
SONOMA, CA 95476
Sonoma County (707) 938-8406
MRS. PATRICIA ANN SATTERFIELD COTA
Occupational Therapy Assistant
1250 BROADWAY
SONOMA, CA 95476
Sonoma County (707) 939-0900
TYLER MARK NIXON DO, INC
Internal Medicine
1250 BROADWAY
SONOMA, CA 95476
Sonoma County (707) 938-8406
DR. CHISOM MOGBO DO
Physical Medicine & Rehabilitation
1250 BROADWAY
SONOMA, CA 95476
Sonoma County (949) 371-9773
ENSIGN SONOMA LLC
Skilled Nursing Facility
1250 BROADWAY
SONOMA, CA 95476
Sonoma County (707) 938-8406
DEBORAH WEST
Occupational Therapy Assistant
1250 BROADWAY
SONOMA, CA 95476
Sonoma County (707) 938-8406

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 Valley Internal Medicine Inc's NPI number?

The NPI number for Petaluma Valley Internal Medicine Inc is 1326089806. It was assigned to this organization in the NPPES registry on June 8, 2006.

Where is Petaluma Valley Internal Medicine Inc located?

Petaluma Valley Internal Medicine Inc is located at 1250 Broadway, Sonoma, CA 95476. The listed phone number is (707) 262-6267.

What is Petaluma Valley Internal Medicine Inc's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Petaluma Valley Internal Medicine Inc was last updated on December 12, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.