Agewell Pace
NPI 1437833597 · General Practice Physician · Rohnert Park, CA
Agewell Pace is a General Practice Physician organization in Rohnert Park, CA (NPI 1437833597).
Provider details
- NPI number
- 1437833597
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Derrick Whitacre, Executive Director(707) 615-4437
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Registered Nurse163W00000X
Nursing Service Providers
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Mailing address
Registry dates
- Enumerated
- 2023-06-09
- Last updated
- 2023-06-09
- Certified
- 2023-06-09
Frequently asked questions
- What is Agewell Pace's NPI number?
- Agewell Pace's National Provider Identifier (NPI) is 1437833597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Agewell Pace?
- Agewell Pace is classified in the NPPES registry as General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Agewell Pace located?
- Agewell Pace's practice location on file with NPPES is 5789 State Farm Dr Ste 110, Rohnert Park, CA 94928-6308.
- What is Agewell Pace's phone number?
- The practice phone number listed in the NPPES registry for Agewell Pace is (707) 615-4437.
- Who is the authorized official for Agewell Pace?
- The authorized official listed on Agewell Pace's NPPES record is Derrick Whitacre, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Agewell Pace's NPI active?
- Yes — Agewell Pace's NPI (1437833597) is active in the NPPES registry as of the last update on 2023-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.