SRJC PETALUMA CAMPUS STUDENT HEALTH SERVICES CLINIC
NPI 1972362952
Clinic/Center - Federally Qualified Health Center (FQHC) in Petaluma, CA

Q: What is Petaluma Health Center, Inc's NPI number?

The NPI number for Petaluma Health Center, Inc is 1972362952. It was assigned to this organization in the NPPES registry on March 13, 2024. The provider is doing business as Srjc Petaluma Campus Student Health Services Clinic and Santa Rosa Junior College - Petaluma Campus - Student Health Services.

Q: 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.

Active since March 13, 2024

680 SONOMA MOUNTAIN PKWY, PETALUMA, CA 94954(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.

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About Srjc Petaluma Campus Student Health Services Clinic NPPES

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

SRJC PETALUMA CAMPUS STUDENT HEALTH SERVICES CLINIC (NPI 1972362952) 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

NPI1972362952

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NamePETALUMA HEALTH CENTER, INC

Location Address680 SONOMA MOUNTAIN PKWYPetaluma, CA 94954-8553

Mailing Address1455 N Mcdowell Blvd Ste DPetaluma, CA 94954-6503 · (707) 559-7500

Phone(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 1972362952 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

680 SONOMA MOUNTAIN PKWY, Petaluma, CA 94954

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Other Names 2

Doing Business AsSrjc Petaluma Campus Student Health Services Clinic

Doing Business AsSanta Rosa Junior College - Petaluma Campus - Student Health Services

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 1972362952. It was assigned to this organization in the NPPES registry on March 13, 2024. The provider is doing business as Srjc Petaluma Campus Student Health Services Clinic and Santa Rosa Junior College - Petaluma Campus - Student Health Services.

Where is Petaluma Health Center, Inc located?

Petaluma Health Center, Inc is located at 680 Sonoma Mountain Pkwy, Petaluma, CA 94954. 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.