OrganizationActive
Petaluma C.c. Inc.
NPI 1659356160 · Skilled Nursing Facility · Petaluma, CA
Petaluma C.c. Inc. is a Skilled Nursing Facility organization in Petaluma, CA (NPI 1659356160).
Provider details
- NPI number
- 1659356160
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Marc Johnson, Cfo(949) 373-8373
- License
- 010000056 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1115 B St
Petaluma, CA 94952-4028
Phone: (707) 765-3030
Street-level locationGet directions
Mailing address
1115 B St
Petaluma, CA 94952-4028
Other names (DBA / former)
- Doing business as
- Petaluma Care and Rehabilitation
Registry dates
- Enumerated
- 2005-12-07
- Last updated
- 2024-04-05
- Certified
- 2024-04-05
Frequently asked questions
- What is Petaluma C.c. Inc.'s NPI number?
- Petaluma C.c. Inc.'s National Provider Identifier (NPI) is 1659356160, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Petaluma C.c. Inc.?
- Petaluma C.c. Inc. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Petaluma C.c. Inc. located?
- Petaluma C.c. Inc.'s practice location on file with NPPES is 1115 B St, Petaluma, CA 94952-4028.
- What is Petaluma C.c. Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Petaluma C.c. Inc. is (707) 765-3030.
- Who is the authorized official for Petaluma C.c. Inc.?
- The authorized official listed on Petaluma C.c. Inc.'s NPPES record is Marc Johnson, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Petaluma C.c. Inc.'s NPI active?
- Yes — Petaluma C.c. Inc.'s NPI (1659356160) is active in the NPPES registry as of the last update on 2024-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.