| St Joseph Heritage Healthcare | |
|
108 Lynch Creek Way, Suite 3, Petaluma, CA 94954-2357 | |
| (707) 763-7403 | |
| (707) 789-0900 |
| Full Name | St Joseph Heritage Healthcare |
|---|---|
| Type | Facility |
| Speciality | Podiatrist |
| Location | 108 Lynch Creek Way, Petaluma, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831587955 | NPI | - | NPPES |
| 6852510005 | Other | CA | NSC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213E00000X | Podiatrist | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| St Joseph Heritage Healthcare 279 Imperial Hwy, Suite 730, Fullerton, CA 92835-1041 Ph: (714) 449-4841 | St Joseph Heritage Healthcare 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954-2357 Ph: (707) 763-7403 |
Dr. Ronald M Lavigna, DPM Podiatrist Medicare: Not Enrolled in Medicare Practice Location: 1400 Professional Drive, Suite 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751 | |
Dr. Michael Alan Johnson, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 108 Lynch Creek Way, Suite 3, Petaluma, CA 94954 Phone: 707-763-2253 Fax: 707-763-7030 | |
Mrs. Rochelle Lenore Bomar, D.P.M. Podiatrist Medicare: Medicare Enrolled Practice Location: 231 N Mcdowell Blvd, Suite D, Petaluma, CA 94954 Phone: 707-763-4343 Fax: 707-283-4663 | |
Don Markley Griffith, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 108 Lynch Creek Wy, #3, Petaluma, CA 94954 Phone: 707-763-2253 Fax: 707-763-7030 | |
Dr. Peter Redko, DPM Podiatrist Medicare: Accepting Medicare Assignments Practice Location: 1400 Professional Drive, Suite 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751 | |
North Bay Foot & Ankle Center Inc Podiatrist Medicare: Medicare Enrolled Practice Location: 1400 Professional Dr, # 102, Petaluma, CA 94954 Phone: 707-769-8481 Fax: 707-769-0751 |