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PROF. MARC JAY PEDERSEN
NPI 1366905051
Rehabilitation Practitioner in Santa Rosa, CA

Active since April 09, 2019
2235 MERCURY WAY STE 107, SANTA ROSA, CA 95407(707) 571-5581 Get Directions Write a Review

NPPES record last updated: July 22, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 25, 2025, Apr 9, 2019 (2 updates tracked since 2019).

About Prof. Marc Jay Pedersen NPPES

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

PROF. MARC JAY PEDERSEN (NPI 1366905051) is an individual rehabilitation practitioner in Santa Rosa, California and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1366905051
Entity TypeIndividualMale
Primary Taxonomy225400000X
Provider Legal NamePROF. MARC JAY PEDERSEN
Location Address2235 MERCURY WAY STE 107Santa Rosa, CA 95407-5472
Mailing Address2235 Mercury Way Ste 107Santa Rosa, CA 95407-5472 · (707) 571-5581
Phone(707) 571-5581
Sole ProprietorYes
Enumeration DateApril 9, 2019
Last NPPES UpdateJuly 22, 20252 updates tracked since enumeration
NPPES CertifiedJuly 22, 2025
✔ NPI 1366905051 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
2235 MERCURY WAY STE 107, Santa Rosa, CA 95407
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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.

ANGEL STEVEN ESCOBAR
Day Training/Habilitation Specialist
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
MR. VERNON D POPE-BANKS
Rehabilitation Practitioner
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
MRS. BRANDI CASWELL
Specialist
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
KENDRA N NEESE
Rehabilitation Practitioner
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 231-0741
KATIE SWAN
Rehabilitation Practitioner
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 583-5284
MISS ANNALISE MADSEN
Rehabilitation Practitioner
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 571-5581
JASON SELVAGE M.A.
Rehabilitation Practitioner
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 695-2805
VERONICA GRAY
Specialist
2235 MERCURY WAY STE 107
SANTA ROSA, CA 95407
Sonoma County (707) 909-0897

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 Marc Pedersen's NPI number?

The NPI number for Marc Pedersen is 1366905051. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Marc Pedersen located?

Marc Pedersen practices at 2235 Mercury Way Ste 107, Santa Rosa, CA 95407. The listed phone number is (707) 571-5581.

What is Marc Pedersen's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Marc Pedersen was last updated on July 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.