Col North California, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

COL NORTH CALIFORNIA, LLC

Doing business as

Petaluma Open MRI

Practice address

181 Lynch Creek Way
Suite 102
Petaluma, CA 94954-2372

Phone

(707) 766-7074

Fax

(707) 766-7075

NPI assigned

Jul 15, 2005

Last updated

Mar 3, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick G. Howard

Title

Managing Member

Phone

(337) 291-9161

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Petaluma Open MRI Doing business as

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Redwood Regional Medical Group Inc

  • Hematology & Oncology Physician
  • Santa Rosa, CA
  • NPI 1275556607

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425340800000",
    "number": "1588663124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 LYNCH CREEK WAY",
            "address_2": "SUITE 102",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542372",
            "telephone_number": "707-766-7074",
            "fax_number": "707-766-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 LYNCH CREEK WAY",
            "address_2": "SUITE 102",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949542372",
            "telephone_number": "707-766-7074",
            "fax_number": "707-766-7075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COL NORTH CALIFORNIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-15",
        "last_updated": "2015-03-03",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "337-291-9161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR004920D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Petaluma Open MRI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coast Guard Training Center Petaluma
• Pilar Cobas-Winter
• Erin Marie Cochrun
• Erin Coe
• Chelsea Marie Coffey
• Jeffrey James Colaizzi, D.C.
• Judit Colbert, MS
• Coleman and Fallon Inc (Park Place Hearing Center)
• Coleman and Fallon Inc (Park Place Hearing Center)
• Denicia Lania Coleman

• Physiological Laboratory in Petaluma, CA
• Providers in Petaluma, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.