SAN ANTONIO HIGH SCHOOL-BASED HEALTH CENTER
NPI 1801655873
Clinic/Center - Federally Qualified Health Center (FQHC) in Petaluma, CA

Active since March 13, 2024
500 VALLEJO ST, PETALUMA, CA 94952(707) 559-7500 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About San Antonio High School-based Health Center NPPES

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

SAN ANTONIO HIGH SCHOOL-BASED HEALTH CENTER (NPI 1801655873) is a healthcare organization registered as a federally qualified health center (fqhc) in Petaluma, California and active in the NPI registry since March 2024. The organization lists Molly Jouaneh, Cfo, as its authorized official.

NPPES Registry Identity

NPI1801655873
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePETALUMA HEALTH CENTER, INC
Location Address500 VALLEJO STPetaluma, CA 94952-3364
Mailing Address1455 N Mcdowell Blvd Ste DPetaluma, CA 94954-6503 · (707) 559-7500
Organization SubpartNo
Authorized OfficialMolly JouanehCfo · (707) 559-7500
Enumeration DateMarch 13, 2024
Last NPPES UpdateApril 22, 2024
NPPES CertifiedApril 22, 2024
NPI 1801655873 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
500 VALLEJO ST, Petaluma, CA 94952

Other Names 2

Doing Business AsSan Antonio High School-based Health Center
Doing Business AsSan Antonio High School Health Clinic

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 1801655873. It was assigned to this organization in the NPPES registry on March 13, 2024. The provider is doing business as San Antonio High School-Based Health Center and San Antonio High School Health Clinic.

Where is Petaluma Health Center, Inc located?

Petaluma Health Center, Inc is located at 500 Vallejo St, Petaluma, CA 94952. 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.

When was this NPI record last updated?

The NPPES record for Petaluma Health Center, Inc was last updated on April 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.