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

MS. Judith Komatsu, NP, LAC

Individual provider Adult Health Nurse Practitioner · NPI 1346261005

MS. Judith Komatsu, NP, LAC is a Nurse Practitioner in Petaluma, California. Qualified in 2011, 15 years ago. Practices with Petaluma Health Center Inc, a 76-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
15
Licensed in
CA
In the registry since
2006
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone: (707) 559-7500
Fax: (707) 559-7620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 21030 (CA)
Acupuncturist Taxonomy 171100000X · Licence CA7924 (CA)

Record details

NPI number1346261005
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP , LAC
Sole proprietorNo
NPI enumeratedJuly 21, 2006
Last updated in NPPESJuly 6, 2012

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Petaluma Health Center Inc — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Petaluma