CHANNEL MEDICAL GROUP OF CALIFORNIA, P.C.
NPI 1366185118
Internal Medicine - Rheumatology in Petaluma, CA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

Active since April 19, 2022

755 BAYWOOD DR FL 2, PETALUMA, CA 94954(646) 389-3451 Get Directions Write a Review

NPPES record last updated: May 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 18, 2022, Apr 19, 2022 (2 updates tracked since 2022).

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About Channel Medical Group Of California, P.c. NPPES

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

CHANNEL MEDICAL GROUP OF CALIFORNIA, P.C. (NPI 1366185118) is a healthcare organization registered as a rheumatology in Petaluma, California and active in the NPI registry since April 2022. The organization lists Saba Haq, Ceo, as its authorized official.

NPPES Registry Identity

NPI1366185118

Entity TypeOrganization

Primary Taxonomy207RR0500X

Legal Business NameCHANNEL MEDICAL GROUP OF CALIFORNIA, P.C.

Location Address755 BAYWOOD DR FL 2Petaluma, CA 94954-5510

Mailing Address4 E 27th St Unit 20206New York, NY 10001-9410 · (646) 389-3451

Phone(646) 389-3451

Organization SubpartNo

Authorized OfficialSaba HaqCeo · (949) 463-0650

Enumeration DateApril 19, 2022

Last NPPES UpdateMay 18, 20222 updates tracked since enumeration

NPPES CertifiedMay 17, 2022

✔ NPI 1366185118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians

Taxonomy Code207RR0500X

Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Also ListedDietitian, RegisteredTaxonomy 133V00000X

755 BAYWOOD DR FL 2, Petaluma, CA 94954

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP