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

Dr. Stewart Bernard Perrilliat II, DMIN

Individual provider Community Health Worker · NPI 1316767221

Dr. Stewart Bernard Perrilliat II, DMIN is a Community Health Worker in Santa Rosa, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

5416 Shallows Pl W
Santa Rosa, CA 95409-5502
Phone: (408) 750-4334
Fax: (707) 703-5794
Show map & directions

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

Additional practice locations (1)

  • 7200 Bancroft Ave Ste 266, Oakland, CA 94605-2465 — (408) 750-4334

Specialties & licences

Religious Nonmedical Practitioner (primary) Taxonomy 374K00000X (CA)
Community Health Worker Taxonomy 172V00000X (CA)

Record details

NPI number1316767221
Entity typeIndividual (Type 1)
GenderMale
Credentials DMIN
Sole proprietorYes
NPI enumeratedOctober 15, 2024
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

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