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

Jake Petrykowski

Individual provider Case Manager/Care Coordinator · NPI 1801407507

Jake Petrykowski is a Case Manager/Care Coordinator in Ukiah, California. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

148 Clara Ave
Ukiah, CA 95482-4002
Phone: (707) 462-1932
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1801407507
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2020
Last updated in NPPESAugust 14, 2020
Certification dateAugust 14, 2020
Mailing address148 Clara Ave, Ukiah, CA 95482-4002

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