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

Petaluma C.c. Inc

Organization Skilled Nursing Facility · NPI 1659356160

Petaluma C.c. Inc is a Skilled Nursing Facility in Petaluma, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1115 B St
Petaluma, CA 94952-4028
Phone: (707) 765-3030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 010000056 (CA)

Record details

NPI number1659356160
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marc Johnson — Cfo · (949) 373-8373
Other names Petaluma Care And Rehabilitation
NPI enumeratedDecember 7, 2005
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address1115 B St, Petaluma, CA 94952-4028

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