Individual provider Active NPI

Michael A. Sweeney, MD

  • Family Medicine Physician
  • Healdsburg, CA
National Provider Identifier
1083798151
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7135 Issued in CA
Practice address
717 Center St
Healdsburg, CA 95448
Phone
(707) 541-7700
Fax
(707) 573-5415
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7135 CA Primary

Addresses

Primary practice location

717 Center St
Healdsburg, CA 95448

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (707) 541-7700

Other practice location 1

401 Bicentennial Way
Santa Rosa, CA 95403-2149
Phone (707) 571-4000

Other practice location 2

3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678
Phone (707) 573-5240

Other practice location 3

131 Stony Cir Ste 1600
Santa Rosa, CA 95401-9520
Phone (707) 541-7700

Other practice location 4

5300 Snyder Ln Ste A
Rohnert Park, CA 94928-2915
Phone (707) 526-3360

Other practice location 5

101 Rowland Way Ste 220
Novato, CA 94945-5056
Phone (415) 878-7200

Other practice location 6

34 Mark West Springs Rd Fl 3
Santa Rosa, CA 95403-1766
Phone (707) 573-5240

Other practice location 7

4702 Hoen Ave
Santa Rosa, CA 95405-7824
Phone (707) 526-3360

Other practice location 8

34 Mark West Springs Rd Fl 2
Santa Rosa, CA 95403-1766
Phone (707) 573-5240

Other practice location 9

4700 Hoen Ave
Santa Rosa, CA 95405-7824
Phone (707) 526-3360

Other practice location 10

2455 Summerfield Rd
Santa Rosa, CA 95405-7815
Phone (707) 541-7700

Other practice location 11

1383 N McDowell Blvd Ste 150
Petaluma, CA 94954-7118
Phone (707) 573-5240

Other identifiers 2

IdentifierTypeStateIssuer
G61169OtherCASTATE MEDICAL LICENSE
00G611690MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000002 CA Practitioner - Family Practice 0143409813 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7135CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince May 8, 2018 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation Family Medicine CurrentSince May 8, 2018 Accepting new patients

Locations (25 of 29)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

717 Center St
Healdsburg, CA 95448
Phone (707) 433-7214

325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
#1112
Palo Alto, CA 94301

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1383 N McDowell Blvd
Ste 150
Petaluma, CA 94954
Phone (707) 308-2840

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

5300 Snyder Ln
Ste A
Rohnert Park, CA 94928
Phone (707) 585-8347

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 120
Santa Rosa, CA 95403
Phone (707) 521-4495

131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700

2455 Summerfield Rd
Santa Rosa, CA 95405
Phone (707) 308-2815

4702 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 545-2255

34 Mark West Springs Rd
Fl 3
Santa Rosa, CA 95403
Phone (707) 573-5200

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

Interoperability endpoints

  • Direct secure messaging: msweeney663997@direct.ochin.org
  • Direct secure messaging: msweeney263595@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1083798151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "707-541-7700",
            "fax_number": "707-573-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CENTER ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "95448",
            "telephone_number": "707-541-7700",
            "fax_number": "707-573-5415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Bicentennial Way",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954032149",
            "country_code": "US",
            "telephone_number": "707-571-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3883 Airway Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031678",
            "country_code": "US",
            "telephone_number": "707-573-5240",
            "fax_number": "707-573-5416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Stony Cir Ste 1600",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954019520",
            "country_code": "US",
            "telephone_number": "707-541-7700",
            "fax_number": "707-573-5415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5300 Snyder Ln Ste A",
            "address_purpose": "LOCATION",
            "city": "Rohnert Park",
            "state": "CA",
            "postal_code": "949282915",
            "country_code": "US",
            "telephone_number": "707-526-3360",
            "fax_number": "707-573-5406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 Rowland Way Ste 220",
            "address_purpose": "LOCATION",
            "city": "Novato",
            "state": "CA",
            "postal_code": "949455056",
            "country_code": "US",
            "telephone_number": "415-878-7200",
            "fax_number": "415-369-1387",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Mark West Springs Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031766",
            "country_code": "US",
            "telephone_number": "707-573-5240",
            "fax_number": "707-573-5416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4702 Hoen Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057824",
            "country_code": "US",
            "telephone_number": "707-526-3360",
            "fax_number": "707-573-5406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "34 Mark West Springs Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954031766",
            "country_code": "US",
            "telephone_number": "707-573-5240",
            "fax_number": "707-573-5416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4700 Hoen Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057824",
            "country_code": "US",
            "telephone_number": "707-526-3360",
            "fax_number": "707-573-5406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2455 Summerfield Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954057815",
            "country_code": "US",
            "telephone_number": "707-541-7700",
            "fax_number": "707-573-5415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1383 N McDowell Blvd Ste 150",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949547118",
            "country_code": "US",
            "telephone_number": "707-573-5240",
            "fax_number": "707-573-5416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "7135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "G61169",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G611690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.