North Bay Post Acute, LLC
NPI 1104413517ActiveOrganization· Skilled Nursing Facility· Petaluma, CA
Skilled Nursing Facility in Petaluma, California, registered in NPPES in December 2020. The authorized official on file is Bryan Tanner, Manager. Enrolled in Medicare as part a provider - skilled nursing facility.
Overview
| NPI | 1104413517 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 31, 2020 |
| Last updated in NPPES | Mar 2, 2021 |
| Certified by provider | Mar 2, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part A Provider - Skilled Nursing Facility (CA) |
|---|
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