Petaluma Valley Internal Medicine Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

G55098 Issued in CA

Legal business name

PETALUMA VALLEY INTERNAL MEDICINE INC

Practice address

1250 Broadway
Sonoma, CA 95476-7500

Phone

(707) 262-6267

Fax

(707) 734-7766

NPI assigned

Jun 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David G Streeter, M.D.

Title

President

Phone

(707) 765-1070

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544572800000",
    "number": "1326089806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 COMMERCE ST #B",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541469",
            "telephone_number": "707-778-7862",
            "fax_number": "707-778-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 BROADWAY",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767500",
            "telephone_number": "707-262-6267",
            "fax_number": "707-734-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "715 SOUTHPOINT BLVD SUITE C",
            "address_purpose": "LOCATION",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541469",
            "country_code": "US",
            "telephone_number": "707-765-1070",
            "fax_number": "707-765-0238",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "678 2nd St W",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954766901",
            "country_code": "US",
            "telephone_number": "707-262-6267",
            "fax_number": "707-734-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PETALUMA VALLEY INTERNAL MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2018-12-12",
        "status": "A",
        "authorized_official_last_name": "STREETER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-765-1070",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "G55098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neal Atul Patel, DDS
• Jenny Tobriner Perez
• Scott Vernon Perryman, M.D.
• Personal Hearing Solutions
• Petaluma Icf DDH Inc
• Carole Marie Petersen, LCSW
• Charles Robert Pettit, M.D.
• Robert T Petty, DO
• Pharmaca Integrative Pharmacy, Inc.
• Hannah Elizabeth Philbin, LMFT, LPCC

• Adult Medicine Physician in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.