NPIMap

Organization Active NPI

Seneca Family of Agencies

  • Community/Behavioral Health Agency
  • Petaluma, CA
National Provider Identifier
1326412099
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SENECA FAMILY OF AGENCIES
Practice address
365 Kuck LN
Petaluma, CA 94952
Phone
(510) 654-4004
NPI assigned
Nov 18, 2015
Organization subpart
Yes
Parent organization
SENECA FAMILY OF AGENCIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Authorized official

Name
Mr. Scott Osborn
Title
Chief Operating Officer
Phone
(510) 520-0943

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

365 Kuck LN
Petaluma, CA 94952

Mailing address

8945 Golf Links Rd
Oakland, CA 94605-4124
Phone (510) 317-1444

Other identifiers 1

IdentifierTypeStateIssuer
0015MedicaidCA

Other names 1

  • Sonoma Kuck Lane Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Seneca Family of Agencies148 organizations share this tax ID, including this one
Part of
Seneca Family of Agencies

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1326412099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8945 GOLF LINKS RD",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054124",
            "telephone_number": "510-317-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 KUCK LN",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94952",
            "telephone_number": "510-654-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENECA FAMILY OF AGENCIES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SENECA FAMILY OF AGENCIES",
        "enumeration_date": "2015-11-18",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "OSBORN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "510-520-0943",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoma Kuck Lane",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.