Pacific Restorative Center
Pacific Restorative Center is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Petaluma, CA, holding Type 2 (organization) NPI 1083080717 since 2015. The authorized official on file is Jason Pope, Medical Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1083080717 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Pacific Restorative Center |
| Practice address | 1456 PROFESSIONAL DRIVE, SUITE 404, Petaluma, CA, 94954 |
| Phone | 7078007633 |
| Fax | 7078433485 |
| Enumeration date | 2015-08-17 |
| Last updated in NPPES | 2017-05-12 |
Authorized official
| Name | Jason Pope |
|---|---|
| Title | Medical Director |
| Phone | 7076239803 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | — | — |
Copy-ready billing details
Provider: Pacific Restorative Center NPI: 1083080717 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 1456 PROFESSIONAL DRIVE, SUITE 404, Petaluma, CA, 94954
Verify this record
Cross-check NPI 1083080717 against the authoritative CMS record: view Pacific Restorative Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Pacific Restorative Center?
What is the NPI number for Pacific Restorative Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2017-05-12.