OrganizationActive
Coast Guard Training Center Petaluma
NPI 1710041058 · Military/U.S. Coast Guard Outpatient Clinic/Center · Petaluma, CA
Provider details
- NPI number
- 1710041058
- Entity type
- Organization
- Primary specialty
- Military/U.S. Coast Guard Outpatient Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Gerry Rodriguez, Clinic Administrator(707) 765-7200
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
599 Tomales Rd
Health Services Division
Petaluma, CA 94952-5002
Phone: (707) 765-7200
Fax: (707) 765-7521
Street-level locationGet directions
Mailing address
599 Tomales Rd
Petaluma, CA 94952-5002
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2009-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.