Angel Ceballos

NPI 1508622721 · on the registry since 2024 · sole proprietor

Practice

Address: 5900 State Farm Dr Fl 2
Rohnert Park, CA 94928
Phone: (707) 559-7500
Organisation at this address: Petaluma Health Center Inc
Kaiser Foundation Health Plan Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 51

Additional practice sites

707 Parnassus Ave, San Francisco, CA

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-07-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California