Individual provider Active NPI

Thomas Frederick Yatteau

  • Family Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1215947882
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A35354 Issued in CA
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

Updated by the provider on Mar 7, 2023

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 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

IdentifierTypeStateIssuer
A35354OtherCACA 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031230000354 CA Practitioner - Family PracticePractitioner - Critical Care (Intensivists)Practitioner - Emergency Medicine 2567360456 Practice locations: Santa Rosa, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Critical Care (Intensivists), Emergency Medicine
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 Hospital, Santa Rosa, CA, CCN 050174
  • Sutter Santa Rosa Regional Hospital Hospital, Santa Rosa, CA, CCN 050291

Merit-based Incentive Payment System (MIPS)

Final score
91.9 of 100Reported as group
Quality
81.89
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions18
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A35354CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salem Radiology Consultants PC Past Accepting new patients
Salem Health West Valley PastSince Mar 3, 2011 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.