OrganizationActive
Pacific Restorative Center
NPI 1083080717 · Ambulatory Surgical Clinic/Center · Petaluma, CA
Provider details
- NPI number
- 1083080717
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Pope, Medical Director(707) 623-9803
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1456 Professional Drive
Suite 404
Petaluma, CA 94954
Phone: (707) 800-7633
Fax: (707) 843-3485
Street-level locationGet directions
Mailing address
1456 Professional Drive
Petaluma, CA 94954
Registry dates
- Enumerated
- 2015-08-17
- Last updated
- 2017-05-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.