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Petaluma Skilled Nursing & Wellness Centre, LLC

Skilled Nursing Facility in Petaluma, CA · enumerated 2007 · authorized official Stephen Reissman, Ceo.

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

National Provider Identifier

1669661716

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Registry record

Entity type Organization (Type 2)
Legal business name Petaluma Skilled Nursing & Wellness Centre, LLC
Other name <Unavail>
Practice address 523 Hayes Ln, Petaluma, CA, 94952
Fax (707) 765-2176
Enumeration date Oct 15, 2007
Last updated in NPPES Oct 15, 2007

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Stephen Reissman
Title Ceo

Other identifiers

Identifier Type State Issuer
LTC55703F Medicaid CA -

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

Where is Petaluma Skilled Nursing & Wellness Centre, LLC located?
The practice location on file with NPPES is in Petaluma, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-10-15. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-15.