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ST JOSEPH HERITAGE HEALTHCARE
NPI 1780980169
Family Medicine in Petaluma, CA

Active since February 02, 2011
24 W EL ROSE DR, PETALUMA, CA 94952(707) 763-9891(707) 762-2311 Get Directions Write a Review

NPPES record last updated: February 2, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About St Joseph Heritage Healthcare NPPES

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

ST JOSEPH HERITAGE HEALTHCARE (NPI 1780980169) is a healthcare organization registered as a family medicine in Petaluma, California and active in the NPI registry since February 2011. The organization lists John Bennett, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1780980169
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameST JUDE HOSPITAL YORBA LINDA
Location Address24 W EL ROSE DRPetaluma, CA 94952-4023
Mailing Address279 Imperial Hwy, Suite 730Fullerton, CA 92835-1041 · (714) 449-4841 · Fax (714) 449-4956
Phone(707) 763-9891
Fax(707) 762-2311
Organization SubpartNo
Authorized OfficialJohn BennettChief Operating Officer · (714) 449-4800
Enumeration DateFebruary 2, 2011
✔ NPI 1780980169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
24 W EL ROSE DR, Petaluma, CA 94952
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Other Names 1

Doing Business AsSt Joseph Heritage Healthcare

Other Identifiers 1

Medicare PINBH969CA

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 St Jude Hospital Yorba Linda's NPI number?

The NPI number for St Jude Hospital Yorba Linda is 1780980169. It was assigned to this organization in the NPPES registry on February 2, 2011. The provider is doing business as St Joseph Heritage Healthcare.

Where is St Jude Hospital Yorba Linda located?

St Jude Hospital Yorba Linda is located at 24 W El Rose Dr, Petaluma, CA 94952. The listed phone number is (707) 763-9891.

What is St Jude Hospital Yorba Linda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for St Jude Hospital Yorba Linda was last updated on February 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.