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

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).

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

Other Providers at the Same Location NPPES 20

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

SHELBY LYNN RAFFI
Behavior Technician
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
Sonoma County (855) 832-6727
ANDREA DUQUE ALESI
Behavior Analyst
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
Sonoma County (855) 832-6727
JUAN LUIZ CALDERON
Assistant Behavior Analyst
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
Sonoma County (855) 832-6727
DR. PATRICK MACLEAMY PSYD
Psychologist (Intellectual and Developmental Disabilities)
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
Sonoma County (707) 241-3559
DR. PATRICK MACLEAMY & ASSOCIATES PSYCHOLOGICAL ASSESSMENT INC.
Psychologist (Intellectual and Developmental Disabilities)
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
Sonoma County (707) 241-4746
ANDREA GOMEZ MORALES
Behavior Analyst
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
Sonoma County (855) 832-6727
LATAZT LLC
Private Vehicle
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
Sonoma County (800) 483-8926
PALOMA FLORES
Assistant Behavior Analyst
755 BAYWOOD DR FL 2
PETALUMA, CA 94954
Sonoma County (855) 832-6727

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 Channel Medical Group Of California, P.C.'s NPI number?

The NPI number for Channel Medical Group Of California, P.C. is 1366185118. It was assigned to this organization in the NPPES registry on April 19, 2022.

Where is Channel Medical Group Of California, P.C. located?

Channel Medical Group Of California, P.C. is located at 755 Baywood Dr Fl 2, Petaluma, CA 94954. The listed phone number is (646) 389-3451.

What is Channel Medical Group Of California, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

When was this NPI record last updated?

The NPPES record for Channel Medical Group Of California, P.C. was last updated on May 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.