Petaluma C.C. Inc.
Petaluma C.C. Inc. is a healthcare organization registered as Skilled Nursing Facility in Petaluma, CA, holding Type 2 (organization) NPI 1659356160 since 2005. The authorized official on file is Marc Johnson, Cfo.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659356160 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Petaluma C.C. Inc. |
| Other name | <Unavail> |
| Practice address | 1115 B ST, Petaluma, CA, 94952 |
| Phone | 7077653030 |
| Enumeration date | 2005-12-07 |
| Last updated in NPPES | 2024-04-05 |
Authorized official
| Name | Marc Johnson |
|---|---|
| Title | Cfo |
| Phone | 9493738373 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 010000056 | CA |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZR06072H | Medicaid | CA | — |
Copy-ready billing details
Provider: Petaluma C.C. Inc. NPI: 1659356160 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 1115 B ST, Petaluma, CA, 94952
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164910063 | Michelle Garcia | Individual | Physical Therapist | Petaluma, CA |
| 1205316833 | Aptb, LLC | Organization | Skilled Nursing Facility | Petaluma, CA |
| 1285294397 | Rileigh Varga | Individual | Occupational Therapist | Petaluma, CA |
| 1003468943 | Kelsey Zambraski | Individual | Occupational Therapist | Petaluma, CA |
| 1336754761 | Skyler Moon | Individual | Occupational Therapist | Petaluma, CA |
| 1447845276 | Sarah Willbergh | Individual | Occupational Therapist | Petaluma, CA |
| 1710558317 | Kyra Henderson | Individual | Speech-Language Pathologist | Petaluma, CA |
| 1578206819 | Alejandro Carranza | Individual | Speech-Language Pathologist | Petaluma, CA |
Verify this record
Cross-check NPI 1659356160 against the authoritative CMS record: view Petaluma C.C. Inc. 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
What is a Type 2 NPI?
What type of organization is Petaluma C.C. Inc.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-04-05.