SA
Medical Clinic
SAN ANTONIO HIGH SCHOOL-BASED HEALTH CENTER
500 VALLEJO ST, PETALUMA, CA 94952
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 551911
- LTC
- NON-LTC
- NPI
- 1053420844
- ZIP
- 94952
- id
- 11570
- CITY
- PETALUMA
- FLAG
- USE PARENT MATCH
- ZIP9
- 3364
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 630025811
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 500 VALLEJO ST
- AO NAME
- Not reported
- FACNAME
- SAN ANTONIO HIGH SCHOOL-BASED HEALTH CENTER
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- Not reported
- CAPACITY
- 0
- LATITUDE
- 38.237625
- LOCATION
- (-122.6286315,38.237625)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -122.6286315
- CCLHO CODE
- 49
- CCLHO NAME
- SONOMA
- START DATE
- 01NOV2024
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA11000001023
- COUNTY CODE
- 590
- COUNTY NAME
- SONOMA
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 110001023
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2002-10-07T00:00:00
- BUSINESS NAME
- PETALUMA HEALTH CENTER, INC.
- DISTRICT NAME
- SANTA ROSA
- FAC TYPE CODE
- FQHC/COMTYC
- LICENSE NUMBER
- 110000399
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 11
- FIPS COUNTY CODE
- 6097
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2002-10-03T00:00:00
- CONTACT PHONE NUMBER
- Not reported
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- Not reported
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2025-11-25T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2026-11-24T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- INTERMITTENT CLINIC
COMMUNITY EXPERIENCE
Reviews of SAN ANTONIO HIGH SCHOOL-BASED HEALTH CENTER
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