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PETALUMA SURGICENTER
NPI 1326259276
Clinic/Center - Podiatric in Petaluma, CA

Active since May 24, 2007
1400 PROFESSIONAL DR, SUITE 102, PETALUMA, CA 94954(707) 763-9325(707) 769-0751 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Petaluma Surgicenter NPPES

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

PETALUMA SURGICENTER (NPI 1326259276) is a healthcare organization registered as a podiatric in Petaluma, California and active in the NPI registry since May 2007. The organization lists Ronald Lavigna, Owner, as its authorized official.

NPPES Registry Identity

NPI1326259276
Entity TypeOrganization
Primary Taxonomy261QP1100X
Legal Business NamePETALUMA SURGICENTER
Location Address1400 PROFESSIONAL DR, SUITE 102Petaluma, CA 94954-5110
Mailing Address1400 Professional Dr, Suite 102Petaluma, CA 94954-5110 · (707) 763-9325 · Fax (707) 769-0751
Phone(707) 763-9325
Fax(707) 769-0751
Organization SubpartNo
Authorized OfficialRonald LavignaOwner · (707) 763-9325
Enumeration DateMay 24, 2007
Last NPPES UpdateJanuary 10, 2013
✔ NPI 1326259276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · PodiatricAmbulatory Health Care Facilities
Taxonomy Code261QP1100X
License✔ Licensed in CA · 110000263
1400 PROFESSIONAL DR, Petaluma, CA 94954
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Other Identifiers 1

Medicare ID-Type UnspecifiedZZZ39360ZCA · Medicare

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL DAVID ZATTO DDS
Dentist (General Practice)
1400 PROFESSIONAL DR, SUITE 101
PETALUMA, CA 94954
Sonoma County (707) 765-9630
NORTH BAY FOOT & ANKLE CENTER INC
Podiatrist
1400 PROFESSIONAL DR, # 102
PETALUMA, CA 94954
Sonoma County (707) 769-8481

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 Surgicenter's NPI number?

The NPI number for Petaluma Surgicenter is 1326259276. It was assigned to this organization in the NPPES registry on May 24, 2007.

Where is Petaluma Surgicenter located?

Petaluma Surgicenter is located at 1400 Professional Dr Suite 102, Petaluma, CA 94954. The listed phone number is (707) 763-9325.

What is Petaluma Surgicenter's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Podiatric, with taxonomy code 261QP1100X.

When was this NPI record last updated?

The NPPES record for Petaluma Surgicenter was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.