NPIMap

Individual provider Active NPI

Nurit Licht, M.D.

  • Family Medicine Physician
  • Novato, CA
National Provider Identifier
1477545176
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A90977 Issued in CA
Practice address
75 Rowland Way Ste 200
Novato, CA 94945-5054
Phone
(415) 897-9664
Fax
(415) 897-2446
NPI assigned
Aug 18, 2005
Last updated
Dec 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A90977 CA Primary

Addresses

Primary practice location

75 Rowland Way Ste 200
Novato, CA 94945-5054

Mailing address

75 Rowland Way Ste 200
Novato, CA 94945-5054
Phone (415) 897-9664

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071215000209 CA Practitioner - Family Practice 6709976616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Geisel School of Medicine at Dartmouth, 1999
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Petaluma Health Center IncGroup PAC ID 9133180375, 76 clinicians
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
90977CAMDMarriage & Family Therapist
A90977CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Univ of California UCSF CurrentSince Oct 24, 2025 Accepting new patients
Petaluma Health Center, Inc CurrentSince Jan 9, 2017 Accepting new patients
Petaluma Health Center Inc CurrentSince Jan 9, 2017 Accepting new patients
Community Health Care Past Accepting new patients
One Medical Group, Inc. Family Medicine Past Accepting new patients
Petaluma Health Center Inc Past Accepting new patients

Locations

75 Rowland Way
Novato, CA 94945
Phone (415) 897-9664

75 Rowland Way
Ste 200
Novato, CA 94945
Phone (415) 897-3174

1179 N McDowell Blvd
Petaluma, CA 94954

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

4000 Civic Center Dr
San Rafael, CA 94903
Phone (415) 492-3333

4000 Civic Center Dr
Ste 206
San Rafael, CA 94903
Phone (415) 492-4800

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Petaluma Health Center IncPetaluma, CA, CCN 551879 Federally qualified health center Corporate Officer
Operational/Managerial Control		 Feb 19, 2015
Aug 29, 2014
Rohnert Park Health CenterRohnert Park, CA, CCN 751848 Federally qualified health center Corporate Officer (20%)
W-2 Managing Employee (20%)		 Jan 1, 2014
Jan 29, 2016
Petaluma Eye CarePetaluma, CA, CCN A01108 Federally qualified health center Corporate Officer (5%)
W-2 Managing Employee (5%)		 Aug 3, 2015
Aug 29, 2005
Mary Isaak Center ClinicPetaluma, CA, CCN A01919 Federally qualified health center Corporate Officer (5%)
W-2 Managing Employee (5%)		 Aug 3, 2015
Aug 29, 2005
San Antonio High School Health ClinicPetaluma, CA, CCN A01917 Federally qualified health center Corporate Officer (5%)
W-2 Managing Employee (5%)		 Aug 3, 2015
Aug 29, 2005
Casa Grande High School Health ClinicPetaluma, CA, CCN A01918 Federally qualified health center Corporate Officer (5%)
W-2 Managing Employee (5%)		 Aug 3, 2015
Aug 29, 2005

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1477545176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ROWLAND WAY STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455054",
            "telephone_number": "415-897-9664",
            "fax_number": "415-897-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ROWLAND WAY STE 200",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949455054",
            "telephone_number": "415-897-9664",
            "fax_number": "415-897-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHT",
        "first_name": "NURIT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A90977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

Verify at the official NPI Registry.