Active NPI
Thomas J Nuckton, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- G83871
- Practice address
- 3325 Chanate Rd
Santa Rosa, CA 95404-1707 - Phone
- (415) 596-1685
- Fax
- (415) 600-1753
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | CC6838711 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | G83871 | CA | Primary |
Addresses
Primary practice location
3325 Chanate Rd
Santa Rosa, CA 95404-1707
Mailing address
6 Locksley Ave Apt 8J
San Francisco, CA 94122-3822
Phone (415) 596-1685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G838711 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040323001950 | CA | Practitioner - Critical Care (Intensivists) | 5496646820 |
Reassigns benefits to 2 organizations Practice locations: Castro Valley, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- R Franklin University of Med & Sci/Chicago Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - Intensivists PC
Practice addresses (Care Compare)
30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4000
Hospital & facility affiliations
- Sutter Santa Rosa Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CC6838711 | CA | MD | Specialist |
| G83871 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Current | Accepting new patients | |
| Cep America - Intensivists PC | Critical Care Medicine | Current | Accepting new patients |
| Inpatient Consultants of California, Inc. | Past | Accepting new patients |
Locations
20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000
450 Stanyan St
San Francisco, CA 94117
Phone (415) 668-1000
30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
1800 N California St
Stockton, CA 95204
Phone (209) 467-6400
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Escondido, CA
- NPI 1407234057
CA, Critical Care Medicine
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
CA
-
- Critical Care Medicine (Internal Medicine) Physician
- Germantown, MD
- NPI 1194615310
Critical Care Medicine
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- Critical Care Medicine (Internal Medicine) Physician
- Chandler, AZ
- NPI 1225902109
-
- Critical Care Medicine (Internal Medicine) Physician
- Sacramento, CA
- NPI 1215577291
Critical Care Medicine
-
- Hospitalist Physician
- Berkely, CA
- NPI 1831134253
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736899200000",
"number": "1003902834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LOCKSLEY AVE APT 8J",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223822",
"telephone_number": "415-596-1685",
"fax_number": "415-600-1753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3325 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041707",
"telephone_number": "415-596-1685",
"fax_number": "415-600-1753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUCKTON",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2025-01-15",
"certification_date": "2025-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "CC6838711",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "G83871",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G838711",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.