Systik Medical, INC.
Durable Medical Equipment & Medical Supplies in Petaluma, CA. Organization (NPI-2).
Details
- NPI
- 1346394145
- Entity type
- Organization (NPI-2)
- Legal business name
- Systik Medical, INC.
- Organization subpart
- No
- Enumeration date
- Jan 22, 2007
- Last updated
- Aug 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | SRJH99159048 | CA | Yes |
Practice location
3920 Cypress DrPetaluma, CA 94954-5694
Phone 707-765-3141 · Fax 707-776-2682
Mailing address
3920 Cypress DrPetaluma, CA 94954-5694
Phone 707-765-3141 · Fax 707-776-2682
Authorized official
Edward J Boracchia
Ceo
7077653100
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Durable Medical Equipment & Medical Supplies providers in Petaluma · All 2,210 providers in Petaluma
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