NPI
Petaluma Health Center Inc
Doing business as Bolinas Family Practice. NPI 1760584049
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-09-05
- Last updated
- 2021-06-08
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Specialties
Licenses
- License CA
- 110000397
Location
- Practice location
- 88 Mesa Rd
- City
- Bolinas CA
- Postal code
- 94924-9713
- Phone
- (415) 868-0124
Organization contact
- Name
- Molly Jouaneh
- Title
- CFO
- Phone
- (707) 559-7500
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Bolinas, CA. 18 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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