PETALUMA EMERGENCY PHYSICIANS MEDICAL CORPORATION
NPI 1649201898
Emergency Medicine in Petaluma, CA

Q: What is Petaluma Emergency Physicians Medical Corporation's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Active since July 06, 2006

400 N MCDOWELL BLVD, PETALUMA, CA 94954(707) 778-1111 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2020, Aug 10, 2016 (2 updates tracked since 2016).

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About Petaluma Emergency Physicians Medical Corporation NPPES

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

PETALUMA EMERGENCY PHYSICIANS MEDICAL CORPORATION (NPI 1649201898) is a healthcare organization registered as an emergency medicine in Petaluma, California and active in the NPI registry since July 2006. The organization lists Henry Fong, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1649201898

Entity TypeOrganization

Primary Taxonomy207P00000X

Legal Business NamePETALUMA EMERGENCY PHYSICIANS MEDICAL CORPORATION

Location Address400 N MCDOWELL BLVDPetaluma, CA 94954-2339

Mailing AddressPo Box 4419Woodland Hills, CA 91365-4419 · (818) 340-9988 · Fax (818) 444-7214

Phone(707) 778-1111

Organization SubpartNo

Authorized OfficialHenry FongMedical Director · (707) 778-1111

Enumeration DateJuly 6, 2006

Last NPPES UpdateMarch 28, 20242 updates tracked since enumeration

NPPES CertifiedMarch 28, 2024

✔ NPI 1649201898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Also ListedGeneral Acute Care Hospital · Critical AccessTaxonomy 282NC0060X · License G69103 (CA)

400 N MCDOWELL BLVD, Petaluma, CA 94954

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Other Identifiers 1

MedicaidGR0105410CA

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.

NICHOLAS BAUTISTA RN

Registered Nurse