Individual provider Active NPI

Sukhjiwan Singh

  • Prevention Professional
  • Petaluma, CA
National Provider Identifier
1326945239
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prevention ProfessionalTaxonomy code 405300000X
License
5512533 Issued in CA
Practice address
207 S McDowell Blvd # 1027
Petaluma, CA 94954-3505
Phone
(206) 535-0443
NPI assigned
Oct 23, 2026
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prevention Professional 405300000X 5512533 CA Primary

Addresses

Primary practice location

207 S McDowell Blvd # 1027
Petaluma, CA 94954-3505

Mailing address

207 S McDowell Blvd # 1027
Petaluma, CA 94954-3505
Phone (206) 535-0443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1792713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1326945239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 S MCDOWELL BLVD # 1027",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543505",
            "telephone_number": "206-535-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 S MCDOWELL BLVD # 1027",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949543505",
            "telephone_number": "206-535-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH",
        "first_name": "SUKHJIWAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-23",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "405300000X",
            "taxonomy_group": "",
            "desc": "Prevention Professional",
            "state": "CA",
            "license": "5512533",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.