ST JOSEPH HERITAGE HEALTHCARE
NPI 1831587955
Podiatrist in Petaluma, CA

Q: What is St Jude Hospital Yorba Linda's NPI number?

The NPI number for St Jude Hospital Yorba Linda is 1831587955. It was assigned to this organization in the NPPES registry on December 23, 2014. The provider is doing business as St Joseph Heritage Healthcare.

Q: What is St Jude Hospital Yorba Linda's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

Active since December 23, 2014

108 LYNCH CREEK WAY, SUITE 3, PETALUMA, CA 94954(707) 763-7403(707) 789-0900 Get Directions Write a Review

NPPES record last updated: July 14, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St Joseph Heritage Healthcare NPPES

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

ST JOSEPH HERITAGE HEALTHCARE (NPI 1831587955) is a healthcare organization registered as a podiatrist in Petaluma, California and active in the NPI registry since December 2014. The organization lists Bob Just, Chief Operating Officer, as its authorized official.

NPPES Registry Identity

NPI1831587955

Entity TypeOrganization

Primary Taxonomy213E00000X

Legal Business NameST JUDE HOSPITAL YORBA LINDA

Location Address108 LYNCH CREEK WAY, SUITE 3Petaluma, CA 94954-2357

Mailing Address279 Imperial Hwy, Suite 730Fullerton, CA 92835-1041 · (714) 449-4841 · Fax (714) 449-4956

Phone(707) 763-7403

Fax(707) 789-0900

Organization SubpartNo

Authorized OfficialBob JustChief Operating Officer · (707) 303-8355

Enumeration DateDecember 23, 2014

Last NPPES UpdateJuly 14, 2015

✔ NPI 1831587955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers

Taxonomy Code213E00000X

Definition

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

108 LYNCH CREEK WAY, Petaluma, CA 94954

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Other Names 1

Doing Business AsSt Joseph Heritage Healthcare

Other Identifiers 2

Other6852510005CA · Nsc

Medicare PINBH969CA

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL ALAN JOHNSON DPM

Podiatrist

108 LYNCH CREEK WAY, SUITE 3
PETALUMA, CA 94954

Sonoma County (707) 763-2253

THOMAS OWEN MALONEY MD

Internal Medicine

108 LYNCH CREEK WAY, #5
PETALUMA, CA 94954

Sonoma County (707) 763-6585

A.S.LALITH MOHAN M.D. PROF. INC

Internal Medicine (Cardiovascular Disease)

108 LYNCH CREEK WAY, #3
PETALUMA, CA 94954

Sonoma County (707) 762-5078

NIKOLA YULIEV LOZANOV MD

Family Medicine

108 LYNCH CREEK WAY, SUITE 4
PETALUMA, CA 94954

Sonoma County (707) 782-1244

FARID OSMAN MD

Internal Medicine (Nephrology)

108 LYNCH CREEK WAY, SUITE
PETALUMA, CA 94954

Sonoma County (707) 765-3343

DR. ADAMANE S LALITH MOHAN M.D.

Internal Medicine (Cardiovascular Disease)

108 LYNCH CREEK WAY, SUITE 3
PETALUMA, CA 94954

Sonoma County (707) 762-5078

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 1831587955. It was assigned to this organization in the NPPES registry on December 23, 2014. 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 108 Lynch Creek Way Suite 3, Petaluma, CA 94954. The listed phone number is (707) 763-7403.

What is St Jude Hospital Yorba Linda's specialty?

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

When was this NPI record last updated?

The NPPES record for St Jude Hospital Yorba Linda was last updated on July 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.