Active NPI
Thomas Frederick Yatteau
- Family Medicine Physician
- Santa Rosa, CA
National Provider Identifier
1215947882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A35354
- Practice address
- 4725 Hoen Ave Ste a
Santa Rosa, CA 95405-9405 - Phone
- (707) 579-1400
- Fax
- (707) 579-1400
- NPI assigned
- Aug 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A35354 | CA | Primary |
Addresses
Primary practice location
4725 Hoen Ave Ste a
Santa Rosa, CA 95405-9405
Mailing address
4725 Hoen Ave Ste a
Santa Rosa, CA 95405-9405
Phone (707) 579-1400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A35354 | Other | CA | CA STATE MEDICAL LICENSE# |
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 |
|---|---|---|---|---|
| I20031230000354 | CA | Practitioner - Family Practice | 2567360456 | Practice locations: Santa Rosa, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Georgetown University School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4725 Hoen Ave
Suite a
Santa Rosa, CA 95405-9405
Phone (707) 579-1400
Hospital & facility affiliations
- Providence Santa Rosa Memorial Hospital
- Sutter Santa Rosa Regional Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.9 of 100
- Quality
- 81.89
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 18 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A35354 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salem Radiology Consultants PC | Past | Accepting new patients | |
| Salem Health West Valley | Past | Accepting new patients | |
| Acadia Pain Management Group, Inc. | Past | Accepting new patients | |
| North Coast Faculty Medical Group Inc | Past | Accepting new patients | |
| West Valley Hospital Pharmacy | Past | Accepting new patients | |
| Sutter Bay Medical Foundation | Past | Accepting new patients | |
| Primary Care Associates of the Redwood Empire Medical Group, Inc. | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- tyatteau61121@hisp.ehr.sutterhealth.org
Organizations & group practices 7
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.
-
- Pain Medicine Physician
- Santa Rosa, CA
- NPI 1154630044
-
- Otolaryngology Physician
- Sebastopol, CA
- NPI 1750616512
-
- Family Medicine Physician
- Santa Rosa, CA
- NPI 1245348820
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- Diagnostic Radiology Physician
- Salem, OR
- NPI 1649221813
-
- Community/Retail Pharmacy
- Dallas, OR
- NPI 1871829796
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1215947882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4725 HOEN AVE STE A",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954059405",
"telephone_number": "707-579-1400",
"fax_number": "707-579-1411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4725 HOEN AVE STE A",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954059405",
"telephone_number": "707-579-1400",
"fax_number": "707-579-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YATTEAU",
"first_name": "THOMAS",
"middle_name": "FREDERICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-08",
"last_updated": "2023-03-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A35354",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA STATE MEDICAL LICENSE#",
"identifier": "A35354",
"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 Mar 7, 2023; 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.