Active NPI
William Francis Kivett, MD, FAAD, FACS
- Plastic and Reconstructive Surgery Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- G34668
- Practice address
- 1140 Sonoma Ave Ste 1a
Santa Rosa, CA 95405-4817 - Phone
- (707) 275-6410
- NPI assigned
- Jun 21, 2006
- Last updated
- Apr 11, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G34668 | CA | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | G34668 | CA | Primary |
Addresses
Primary practice location
1140 Sonoma Ave Ste 1a
Santa Rosa, CA 95405-4817
Mailing address
PO Box 2196
Windsor, CA 95492-2196
Phone (707) 275-6410
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
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Arizona College of Medicine, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1140 Sonoma Ave
Suite 1a
Santa Rosa, CA 95405-4817
Phone (707) 275-6410
296 Cottage Ave
Manteca, CA 95336-4942
Phone (209) 624-7006
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 28 |
| Removal of tissue | 16 |
| Removal of skin lesions | 385 |
| Removal of skin cancer | 22 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 163 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G34668 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Adventist Health Clearlake Hospital Inc. | Current | Accepting new patients | |
| William F Kivett MD Inc | Dermatology | Current | Accepting new patients |
| Sol Dermatology Associates | Dermatology | Current | Accepting new patients |
| Artius Dermatology Associates, P.C. | Dermatology | Current | Accepting new patients |
| Chico Dermatology Inc | Dermatology | Current | Accepting new patients |
| Csi Medical Group | Dermatology | Current | Accepting new patients |
| Trinity Hospitals | Past | Accepting new patients | |
| North Sonoma County Health Care District | Past | Accepting new patients | |
| Community Hospice, Inc. | Past | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Acadia Pain Management Group, Inc. | Past | Accepting new patients | |
| Gabriele Aesthetics Inc | Dermatology | Past | Accepting new patients |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients |
Locations (25 of 30)
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
9500 Stockdale Hwy
Ste 101
Bakersfield, CA 93311
Phone (661) 326-7536
774 East Ave
Chico, CA 95926
Phone (530) 774-2650
15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820
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
9460 No Name Uno
Ste 210
Gilroy, CA 95020
Phone (408) 847-0888
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
296 Cottage Ave
Manteca, CA 95336
Phone (209) 239-2901
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
Palo Alto, CA 94301
Phone (650) 324-1832
795 El Camino Real
#1112
Palo Alto, CA 94301
573 W Putnam Ave
Porterville, CA 93257
Phone (559) 627-9901
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 780-0110
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
5333 Hollister Ave
Ste 105
Santa Barbara, CA 93111
Phone (805) 439-6871
1140 Sonoma Ave
Ste 1A
Santa Rosa, CA 95405
Phone (707) 275-6410
1210 Sonoma Ave
Ste A
Santa Rosa, CA 95405
Phone (707) 523-7185
3883 Airway Dr
Ste 203
Santa Rosa, CA 95403
Phone (707) 521-7760
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
18988 Cox Ave
Ste B
Saratoga, CA 95070
Phone (408) 253-4407
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- wkivett@dcm-ca.emadirect.md
- wkivett226961@hisp.ehr.sutterhealth.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lux Dermatology
- Dermatology Physician
- Hanford, CA
- NPI 1245782291
-
- Dermatology Physician
- Santa Rosa, CA
- NPI 1164024394
-
dba Adventist Health Clear Lake
- Critical Access Hospital
- Clearlake, CA
- NPI 1124018031
-
- Dermatology Physician
- Chico, CA
- NPI 1578121570
-
- Dermatology Physician
- Santa Barbara, CA
- NPI 1164391959
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Pain Medicine Physician
- Santa Rosa, CA
- NPI 1154630044
-
- Community Based Hospice Care Agency
- Modesto, CA
- NPI 1043326531
-
- Dermatology Physician
- Arcadia, CA
- NPI 1154744373
-
dba Healdsburg District Hospital
- Medicare Defined Swing Bed Hospital Unit
- Healdsburg, CA
- NPI 1043308539
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618099200000",
"number": "1235175902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2196",
"city": "WINDSOR",
"state": "CA",
"postal_code": "954922196",
"telephone_number": "707-275-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 SONOMA AVE STE 1A",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054817",
"telephone_number": "707-275-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIVETT",
"first_name": "WILLIAM",
"middle_name": "FRANCIS",
"name_prefix": "Dr.",
"credential": "MD, FAAD, FACS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2021-04-11",
"certification_date": "2021-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G34668",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "CA",
"license": "G34668",
"primary": true
}
],
"identifiers": [],
"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 Apr 11, 2021; 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.