Nathan Rheault DO PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

NATHAN RHEAULT DO PC

Practice address

740 Front St Ste 345B
Santa Cruz, CA 95060-4561

Phone

(831) 419-6446

Fax

(949) 561-5836

NPI assigned

Dec 12, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Nathan Rheault, DONPI 1629488366

Title

Physician Owner

Phone

(831) 419-6446

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nathan Rheault, D.O.

  • Family Medicine Physician
  • Santa Cruz, CA
  • NPI 1629488366
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1702339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1174390900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 FRONT ST STE 345B",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604561",
            "telephone_number": "831-419-6446",
            "fax_number": "949-561-5836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FRONT ST STE 345B",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604561",
            "telephone_number": "831-419-6446",
            "fax_number": "949-561-5836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN RHEAULT DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-12",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "RHEAULT",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "831-419-6446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ileanna Narez-Garcia
• April Lynn Nash, LVN
• Alaina Nashir
• Sierra Rosarian Nasr
• Riya Nath
• Himani Natu, M.D.
• Natural Bridges Marriage and Family Therapy Inc. (Natural Bridges Therapy)
• Nature's Balance Acupuncture
• Tanya Nauenberg, MD
• Catharine Naughton

• Medical Specialty Clinic/Center in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.