NPIMap

Individual provider Active NPI

Tony David Veletto, M.D.

  • Internal Medicine Physician
  • Healdsburg, CA
National Provider Identifier
1205940228
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G58852 Issued in CA
Practice address
1312 Prentice Dr
Healdsburg, CA 95448-3381
Phone
(707) 433-3383
Fax
(707) 433-7210
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, Geffen School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Valley Medical Foundation 2,473 clinicians

Practice addresses (Care Compare)

2800 L St
Sacramento, CA 95816-5616

2825 Capitol Ave
Sacramento, CA 95816-6039
Phone (916) 454-6600

Hospital & facility affiliations

  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20071009000627 CA Practitioner - Internal Medicine 3971698762 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
58852CAMDDentist
G58852CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Nov 4, 2020 Accepting new patients
Marin Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Dec 17, 2018 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Nov 4, 2020 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine Current Accepting new patients
Farallon Inpatient Medical Group Inc CurrentSince Jun 15, 2019 Accepting new patients
Prima Medical Group, Inc. Past Accepting new patients
Coastal Communities Physician Network, Inc. Past Accepting new patients
San Francisco Emergency Medical Associates PastSince Mar 12, 2024 Accepting new patients

Locations

250 Bon Air Rd
Rm 3209
Greenbrae, CA 94904
Phone (415) 925-7545

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

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

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

Interoperability endpoints

  • Direct secure messaging: tveletto@yourcarecommunity.org
  • Direct secure messaging: tveletto248860@hisp.ehr.sutterhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G58852 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1312 Prentice Dr
Healdsburg, CA 95448-3381

Mailing address

1312 Prentice Dr
Healdsburg, CA 95448-3381
Phone (707) 433-3383

Other practice location 1

4580 California Ave
Bakersfield, CA 93309-1104
Phone (661) 327-4411

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1205940228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 PRENTICE DR",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483381",
            "telephone_number": "707-433-3383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 PRENTICE DR",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483381",
            "telephone_number": "707-433-3383",
            "fax_number": "707-433-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4580 California Ave",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933091104",
            "country_code": "US",
            "telephone_number": "661-327-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELETTO",
        "first_name": "TONY",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G58852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.