| Agewell Pace | |
|
5789 State Farm Dr Ste 110 Rohnert Park CA 94928-6308 | |
| (707) 615-4437 | |
| (707) 615-6955 |
| Full Name | Agewell Pace |
|---|---|
| Speciality | General Practice |
| Location | 5789 State Farm Dr Ste 110, Rohnert Park, California |
| Authorized Official Name and Position | Derrick Whitacre (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7076154437 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Agewell Pace 5789 State Farm Dr Ste 110 Rohnert Park CA 94928-6308 Ph: (707) 615-4437 | Agewell Pace 5789 State Farm Dr Ste 110 Rohnert Park CA 94928-6308 Ph: (707) 615-4437 |
| NPI Number | 1437833597 |
|---|---|
| Provider Enumeration Date | 06/09/2023 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437833597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 163W00000X | Registered Nurse | () | Secondary |
| 208D00000X | General Practice | () | Primary |
Advanced Pyhsical Medicine and Rehabilitaion Gropu Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5880 Commerce Blvd, Rohnert Park, CA 94928 Phone: 707-338-6722 |
Planned Parenthood Golden Gate Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1370 Medical Center Dr, Rohnert Park, CA 94928 Phone: 650-574-5823 |
Sutter Medical Group of the Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5300 Snyder Ln, Suite A, Rohnert Park, CA 94928 Phone: 707-585-8347 Fax: 707-585-8056 |
Rohnert Park Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5900 State Farm Dr, Rohnert Park, CA 94928 Phone: 707-559-7500 Fax: 707-559-7620 |
Rohnert Park Community Acupuncture Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6040 Commerce Blvd Ste 108, Rohnert Park, CA 94928 Phone: 707-559-7500 |
Sutter Medical Group of the Redwoods Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 Medical Center Dr, Suite A, Rohnert Park, CA 94928 Phone: 707-586-0440 Fax: 707-586-1444 |