Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Agewell Pace

Organization Registered Nurse · NPI 1437833597

Agewell Pace is a Registered Nurse in Rohnert Park, California. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
3

Practice location Address checks out

5789 State Farm Dr Ste 110
Rohnert Park, CA 94928-6308
Phone: (707) 615-4437
Fax: (707) 615-6955
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Registered Nurse Taxonomy 163W00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1437833597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Derrick Whitacre — Executive Director · (707) 615-4437
NPI enumeratedJune 9, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address5789 State Farm Dr Ste 110, Rohnert Park, CA 94928-6308

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