Healthcare Provider Details

I. General information

NPI: 1962400721
Provider Name (Legal Business Name): SOMA HEALTH ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 MARIA DR SUITE 860
PETALUMA CA
94954-3548
US

IV. Provider business mailing address

35 MARIA DR SUITE 860
PETALUMA CA
94954-3548
US

V. Phone/Fax

Practice location:
  • Phone: 707-766-7878
  • Fax: 707-766-7055
Mailing address:
  • Phone: 707-766-7878
  • Fax: 707-766-7055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 39388
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPHY37491
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number169110
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code364SH0200X
TaxonomyHome Health Clinical Nurse Specialist
License Number315544
License Number StateCA
# 5
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRPH 42925
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. RICHARD B LEWIS
Title or Position: PRESIDENT
Credential: RN
Phone: 707-766-7878