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ROHNERT PARK HEALTH CENTER
NPI 1669870739
Clinic/Center - Federally Qualified Health Center (FQHC) in Rohnert Park, CA

Active since December 05, 2014
5900 STATE FARM DR, ROHNERT PARK, CA 94928(707) 559-7500(707) 559-7620 Get Directions Write a Review

NPPES record last updated: March 24, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2019, Jan 16, 2017, Oct 18, 2016 (3 updates tracked since 2016).

About Rohnert Park Health Center NPPES

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

ROHNERT PARK HEALTH CENTER (NPI 1669870739) is a healthcare organization registered as a federally qualified health center (fqhc) in Rohnert Park, California and active in the NPI registry since December 2014. The organization lists Pedro Toledo, Interim Ceo, as its authorized official.

NPPES Registry Identity

NPI1669870739
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePETALUMA HEALTH CENTER INC
Location Address5900 STATE FARM DRRohnert Park, CA 94928-2149
Mailing Address1179 N Mcdowell BlvdPetaluma, CA 94954-6559
Phone(707) 559-7500
Fax(707) 559-7620
Organization SubpartNo
Authorized OfficialPedro ToledoInterim Ceo · (707) 559-7692
Enumeration DateDecember 5, 2014
Last NPPES UpdateMarch 24, 20223 updates tracked since enumeration
NPPES CertifiedMarch 24, 2022
✔ NPI 1669870739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 110000313
5900 STATE FARM DR, Rohnert Park, CA 94928
Open in Google Maps ↗

Other Names 1

Doing Business AsRohnert Park Health Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rohnert Park Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

63

Medicare enrollment records show 63 clinicians reassign Medicare billing to Rohnert Park Health Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 44 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Family Practice22
Nurse Practitioner18
Chiropractic4
Clinical Psychologist2
Marriage and Family Therapist2
Mental Health Counselor2
Optometry2
Podiatry2
9 other specialties9

Nearest to this location (20)

See all 63
Jesus Dimas-Arriaga, REGISTERED DIETITIAN
Registered Dietitian or Nutrition Professional
NPI 1649723388
5900 STATE FARM DR STE 200
Rohnert Park, CA 94928
(707) 559-7600
✔ Accepts MedicareSame address
Amy Kao, O.D.
Optometry
NPI 1164770798
5900 STATE FARM DR
Rohnert Park, CA 94928
(707) 566-6060
✔ PECOSSame address
Laura Martin, M.D.
Obstetrics/Gynecology
NPI 1225353923
5900 STATE FARM DR STE 200
Rohnert Park, CA 94928
(707) 559-7500
✔ PECOS✔ Accepts MedicareSame address
Jillian Geissler, NP
Nurse Practitioner
NPI 1780132324
5900 STATE FARM DR 2ND FLOOR
Rohnert Park, CA 94928
(707) 559-7600
✔ PECOS✔ Accepts MedicareSame address
Karl Greer, MD
Family Practice
NPI 1396010740
5900 STATE FARM DR FL 2
Rohnert Park, CA 94928
(707) 559-7600
✔ PECOS✔ Accepts MedicareSame address
Anna Baylor
Family Practice
NPI 1538218433
499 HUMBOLDT ST STE 104
Santa Rosa, CA 95404
(707) 565-7407
✔ PECOS6.2 mi
Ulysses Gomez, M.D.
Family Practice
NPI 1427508241
131 STONY CIR
Santa Rosa, CA 95401
(707) 318-9388
✔ PECOS✔ Accepts Medicare6.3 mi
Megan Rehder, ARNP
Nurse Practitioner
NPI 1386013274
131 STONY CIR STE 1600
Santa Rosa, CA 95401
(707) 541-7700
✔ PECOS6.3 mi
Samuel Rose, DC
Chiropractic
NPI 1558387522
1188 YULUPA AVE
Santa Rosa, CA 95405
(707) 495-7703
6.4 mi
Stephanie Bedolla, NP-C
Nurse Practitioner
NPI 1265717565
1179 N MCDOWELL BLVD
Petaluma, CA 94954
(707) 559-7500
✔ PECOS✔ Accepts Medicare6.4 mi
Yolanda Briscoe, PSYD
Psychiatry
NPI 1508967142
1179 N MCDOWELL BLVD
Petaluma, CA 94954
(707) 559-7500
✔ PECOS✔ Accepts Medicare6.4 mi
Samantha Cardozo, M.S.
Marriage and Family Therapist
NPI 1114349578
1179 N MCDOWELL BLVD
Petaluma, CA 94954
(707) 559-7500
✔ PECOS✔ Accepts Medicare6.4 mi
Philippe Edouard, MD
Internal Medicine
NPI 1124029491
1179 N MCDOWELL BLVD
Petaluma, CA 94954
(707) 559-7500
✔ PECOS6.4 mi
George Keres, D.C.
Chiropractic
NPI 1962707083
1179 N MCDOWELL BLVD
Petaluma, CA 94954
(707) 559-7500
6.4 mi
Fiona Redwood, M.D.
Hospitalist
NPI 1255323945
1179 N MCDOWELL BLVD
Petaluma, CA 94954
(707) 559-7500
✔ PECOS✔ Accepts Medicare6.4 mi
Daniel Wrightsman, MA, MFTI
Marriage and Family Therapist
NPI 1750524674
1179 N MCDOWELL BLVD
Petaluma, CA 94954
(707) 559-7500
✔ PECOS✔ Accepts Medicare6.4 mi
Kristin Richman, CNM
Certified Nurse Midwife (CNM)
NPI 1831392612
1179 N MCDOWELL BLVD
Petaluma, CA 94954
(707) 763-7005
✔ PECOS6.4 mi
James Palleschi, M.D.
Urology
NPI 1528088705
1701 4TH ST SUITE 200
Santa Rosa, CA 95404
(707) 525-4051
✔ PECOS✔ Accepts Medicare6.6 mi
Urmila Shende, M.D.
Pediatric Medicine
NPI 1225141245
255 FARMERS LN
Santa Rosa, CA 95405
(707) 545-2255
✔ PECOS6.6 mi
Cynthia Weissbein Macken, PSYD
Clinical Psychologist
NPI 1194840660
1821 4TH ST
Santa Rosa, CA 95404
(707) 484-7979
✔ PECOS✔ Accepts Medicare6.7 mi
See all 63 clinicians

Source: 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 1669870739. It was assigned to this organization in the NPPES registry on December 5, 2014. The provider is doing business as Rohnert Park Health Center.

Where is Petaluma Health Center Inc located?

Petaluma Health Center Inc is located at 5900 State Farm Dr, Rohnert Park, CA 94928. 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.

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, 5 practice at this address and 44 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 March 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.