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

Prof. Marc Jay Pedersen

Individual provider Rehabilitation Practitioner · NPI 1366905051

Prof. Marc Jay Pedersen is a Rehabilitation Practitioner in Santa Rosa, California. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

2235 Mercury Way Ste 107
Santa Rosa, CA 95407-5472
Phone: (707) 571-5581
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X

Record details

NPI number1366905051
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 9, 2019
Last updated in NPPESJuly 22, 2025
Certification dateJuly 22, 2025
Mailing address2235 Mercury Way Ste 107, Santa Rosa, CA 95407-5472

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