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HEADWATERS MEDICAL THERAPY UNIT
NPI 1427563261
Clinic/Center in Petaluma, CA

Active since December 01, 2017
1355 INDUSTRIAL AVE, PETALUMA, CA 94952(707) 565-8188(707) 565-8190 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 23, 2023, Dec 1, 2017 (2 updates tracked since 2017).

About Headwaters Medical Therapy Unit NPPES

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

HEADWATERS MEDICAL THERAPY UNIT (NPI 1427563261) is a healthcare organization registered as a clinic/center in Petaluma, California and active in the NPI registry since December 2017. The organization lists Ruby Zhang, Department Analyst, as its authorized official.

NPPES Registry Identity

NPI1427563261
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameCOUNTY OF SONOMA
Location Address1355 INDUSTRIAL AVEPetaluma, CA 94952-6500
Mailing Address1355 Industrial AvePetaluma, CA 94952-6500 · (707) 565-8188 · Fax (707) 565-8190
Phone(707) 565-8188
Fax(707) 565-8190
Organization SubpartNo
Authorized OfficialRuby ZhangDepartment Analyst · (707) 565-7846
Enumeration DateDecember 1, 2017
Last NPPES UpdateMay 23, 20232 updates tracked since enumeration
NPPES CertifiedMay 23, 2023
✔ NPI 1427563261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1355 INDUSTRIAL AVE, Petaluma, CA 94952
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Other Names 1

Other NameHeadwaters Medical Therapy Unit

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.

BANDAR KHALED AL-OMAIRA
Counselor (Mental Health)
1355 INDUSTRIAL AVE
PETALUMA, CA 94952
Sonoma County (707) 736-0690
ERIN ELLEN AHERN CAS
Counselor (Addiction (Substance Use Disorder))
1355 INDUSTRIAL AVE
PETALUMA, CA 94952
Sonoma County (707) 776-4670

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 County Of Sonoma's NPI number?

The NPI number for County Of Sonoma is 1427563261. It was assigned to this organization in the NPPES registry on December 1, 2017. The provider is also known as Headwaters Medical Therapy Unit.

Where is County Of Sonoma located?

County Of Sonoma is located at 1355 Industrial Ave, Petaluma, CA 94952. The listed phone number is (707) 565-8188.

What is County Of Sonoma's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for County Of Sonoma was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.