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

Edward Bocc, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1215014469

Edward Bocc, PHYSICIANASSISTANT is a Physician Assistant in Petaluma, California. Qualified in 2004, 22 years ago. Practices with Petaluma Health Center Inc, a 76-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2006

Practice location Address checks out

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone: (707) 559-7500
Show map & directions

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

Additional practice locations (1)

  • 1381 University Ave, Healdsburg, CA 95448-3314 — (707) 431-8234

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA18351 (CA)

Record details

NPI number1215014469
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 1, 2006
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025
Mailing address1179 N McDowell Blvd, Petaluma, CA 94954-6559

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Petaluma Health Center Inc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Petaluma