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COAST GUARD TRAINING CENTER PETALUMA
NPI 1710041058
Clinic/Center - Military/U.S. Coast Guard Outpatient in Petaluma, CA

Active since December 21, 2006
599 TOMALES RD, HEALTH SERVICES DIVISION, PETALUMA, CA 94952(707) 765-7200(707) 765-7521 Get Directions Write a Review

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Coast Guard Training Center Petaluma NPPES

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

COAST GUARD TRAINING CENTER PETALUMA (NPI 1710041058) is a healthcare organization registered as a military/u.s. coast guard outpatient in Petaluma, California and active in the NPI registry since December 2006. The organization lists Gerry Rodriguez, Clinic Administrator, as its authorized official.

NPPES Registry Identity

NPI1710041058
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business NameCOAST GUARD TRAINING CENTER PETALUMA
Location Address599 TOMALES RD, HEALTH SERVICES DIVISIONPetaluma, CA 94952-5002
Mailing Address599 Tomales Rd, Health Services DivisionPetaluma, CA 94952-5002 · (707) 765-7200 · Fax (707) 765-7521
Phone(707) 765-7200
Fax(707) 765-7521
Organization SubpartNo
Authorized OfficialGerry RodriguezClinic Administrator · (707) 765-7200
Enumeration DateDecember 21, 2006
Last NPPES UpdateMay 7, 2009
✔ NPI 1710041058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
599 TOMALES RD, Petaluma, CA 94952
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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.

MR. STEVEN BENARD POWELL
Emergency Medical Technician, Basic
599 TOMALES RD
PETALUMA, CA 94952
Sonoma County (707) 765-7774
DEREK ALAN WILLIAMS
Technician, Other
599 TOMALES RD, HS 'A' SCHOOL
PETALUMA, CA 94952
Sonoma County (707) 765-7482
MRS. ERMA ABRAZADO PAYNE HEALTH SERVICES TECH
Technician, Other
599 TOMALES RD, US COAST GUARD TRACEN PETALUMA
PETALUMA, CA 94952
Sonoma County (707) 765-7833
LARRY HOWARD LEE BOWEN ARRT(R) EMT(B)
Radiologic Technologist (Radiography)
599 TOMALES RD, HEALTH SERVICES 'A' SCHOOL
PETALUMA, CA 94952
Sonoma County (707) 765-7488
MR. DALE RUSSELL YOUNG JR.
Technician, Other
599 TOMALES RD
PETALUMA, CA 94952
Sonoma County (541) 914-7676
ANNA C BROTHERS
Technician, Other
599 TOMALES RD, MEDICAL CLINIC
PETALUMA, CA 94952
Sonoma County (707) 765-7702
MR. JEFFREY SUMNER MCCOY
Technician, Other
599 TOMALES RD
PETALUMA, CA 94952
Sonoma County (360) 477-8679
ELIZA ZETINO
Dental Assistant
599 TOMALES RD
PETALUMA, CA 94952
Sonoma County (707) 765-7200

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 Coast Guard Training Center Petaluma's NPI number?

The NPI number for Coast Guard Training Center Petaluma is 1710041058. It was assigned to this organization in the NPPES registry on December 21, 2006.

Where is Coast Guard Training Center Petaluma located?

Coast Guard Training Center Petaluma is located at 599 Tomales Rd Health Services Division, Petaluma, CA 94952. The listed phone number is (707) 765-7200.

What is Coast Guard Training Center Petaluma's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for Coast Guard Training Center Petaluma was last updated on May 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.