PETALUMA HEALTH CENTER INC
NPI 1588656268
Clinic/Center - Federally Qualified Health Center (FQHC) in Petaluma, CA
About Petaluma Health Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PETALUMA HEALTH CENTER INC (NPI 1588656268), doing business as Petaluma Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Petaluma, California and active in the NPI registry since August 2005. The organization lists Kathryn Powell, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 6
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Petaluma Health Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
63Medicare enrollment records show 63 clinicians reassign Medicare billing to Petaluma Health Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 36 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 17
Nearest to this location (20)
See all 63Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Health Center Inc's NPI number?
The NPI number for Petaluma Health Center Inc is 1588656268. It was assigned to this organization in the NPPES registry on August 18, 2005. The provider is doing business as Petaluma Health Center.
Where is Petaluma Health Center Inc located?
Petaluma Health Center Inc is located at 1179 N Mcdowell Blvd, Petaluma, CA 94954. The listed phone number is (707) 559-7500.
What is Petaluma Health Center Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Petaluma Health Center Inc enrolled in Medicare?
Yes. Petaluma Health Center Inc is registered in the Medicare PECOS enrollment system.
When is Petaluma Health Center Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (California, Federally Qualified Health Center (FQHC)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Petaluma Health Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 63 clinicians in 17 Medicare specialties reassign their Medicare billing to Petaluma Health Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (22), Nurse Practitioner (18) and Chiropractic (4). Of these, 1 practice at this address and 36 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Petaluma Health Center Inc was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Petaluma Health Center Inc · NPI 1588656268
Federally Qualified Health Center (FQHC) organization in Petaluma, California. Organization record, active in the CMS NPPES registry since August 18, 2005.
## Identity
- **NPI:** 1588656268 (Entity type: Organization)
- **Enumerated:** August 18, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Petaluma Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kathryn Powell, CEO
## Practice location
- **Address:** 1179 N MCDOWELL BLVD, Petaluma, CA 94954-6559
- **Phone:** (707) 559-7500 · **Fax:** (707) 559-7620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Part A, California, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 63 clinicians in 17 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (22), Nurse Practitioner (18), Chiropractic (4); 1 practice at this address and 36 within 10 miles; [full list](https://npiprofile.com/npi/1588656268/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 7, 2026
- **Other identifiers:** Medicaid HAP70696F (CA); Other 551879 (CA); Other 551879 (CA); and 3 more
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Source: [NPI Profile](https://npiprofile.com/npi/1588656268) · Data from the CMS NPPES public registry.