BOLINAS FAMILY PRACTICE
NPI 1760584049
Clinic/Center - Federally Qualified Health Center (FQHC) in Bolinas, CA

Active since September 05, 2006
88 MESA RD, BOLINAS, CA 94924(415) 868-0124(415) 868-2152 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2021, Jul 22, 2020, Jul 13, 2020 (3 updates tracked since 2020).

About Bolinas Family Practice NPPES

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

BOLINAS FAMILY PRACTICE (NPI 1760584049) is a healthcare organization registered as a federally qualified health center (fqhc) in Bolinas, California and active in the NPI registry since September 2006. The organization lists Molly Jouaneh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1760584049
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePETALUMA HEALTH CENTER INC
Location Address88 MESA RDBolinas, CA 94924-9713
Mailing Address1455 N Mcdowell Blvd Ste DPetaluma, CA 94954-6503 · (707) 559-7500
Fax(415) 868-2152
Organization SubpartNo
Authorized OfficialMolly JouanehCfo · (707) 559-7500
Enumeration DateSeptember 5, 2006
Last NPPES UpdateJune 8, 20213 updates tracked since enumeration
NPPES CertifiedJune 8, 2021
NPI 1760584049 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 · 110000397
88 MESA RD, Bolinas, CA 94924

Other Names 1

Doing Business AsBolinas Family Practice

Other Identifiers 1

MedicaidFHC03885GCA

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.

Family Medicine
88 MESA RD
BOLINAS, CA 94924
Acupuncturist
88 MESA RD
BOLINAS, CA 94924

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 1760584049. It was assigned to this organization in the NPPES registry on September 5, 2006. The provider is doing business as Bolinas Family Practice.

Where is Petaluma Health Center Inc located?

Petaluma Health Center Inc is located at 88 Mesa Rd, Bolinas, CA 94924. The listed phone number is (415) 868-0124.

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.

When was this NPI record last updated?

The NPPES record for Petaluma Health Center Inc was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.