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Agewell Pace

General Practice Physician in Rohnert Park, CA · enumerated 2023 · authorized official Derrick Whitacre, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1437833597

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Registry record

Entity type Organization (Type 2)
Legal business name Agewell Pace
Practice address 5789 State Farm Dr Ste 110, Rohnert Park, CA, 94928
Phone (707) 615-4437
Fax (707) 615-6955
Enumeration date Jun 9, 2023
Last updated in NPPES Jun 9, 2023

Taxonomy & classification

163W00000X Registered Nurse Nursing Service Providers Secondary
208D00000X General Practice Physician Allopathic & Osteopathic Physicians Primary
261Q00000X Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Derrick Whitacre
Title Executive Director
Phone (707) 615-4437

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.

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Frequently asked questions

Who is the authorized official for Agewell Pace?
NPPES lists Derrick Whitacre (Executive Director) as the authorized official for this organization.
What is the NPI number for Agewell Pace?
The NPI for Agewell Pace is 1437833597, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-09.