Individual provider Active NPI

William Francis Kivett, MD, FAAD, FACS

  • Plastic and Reconstructive Surgery Physician
  • Santa Rosa, CA
National Provider Identifier
1235175902
Registry record updated Apr 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
G34668 Issued in CA
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080908000094 CA Practitioner - Dermatology 3375619869 Reassigns benefits to 6 organizations

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
Artius Dermatology Associates PCGroup PAC ID 6305126780, 17 clinicians

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

ProcedureNumber of procedures
Melanoma (skin cancer) excision28
Removal of tissue16
Removal of skin lesions385
Removal of skin cancer22
Removal of nail tissue1-10
Skin biopsy163

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G34668CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Current Accepting new patients
Adventist Health Clearlake Hospital Inc. CurrentSince Jul 1, 2023 Accepting new patients
William F Kivett MD Inc Dermatology CurrentSince Mar 1, 2021 Accepting new patients
Sol Dermatology Associates Dermatology CurrentSince Jan 1, 2026 Accepting new patients
Artius Dermatology Associates, P.C. Dermatology CurrentSince Jun 24, 2024 Accepting new patients
Chico Dermatology Inc Dermatology CurrentSince Oct 1, 2025 Accepting new patients
Csi Medical Group Dermatology CurrentSince Oct 10, 2022 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

  • Direct secure messaging: wkivett@dcm-ca.emadirect.md
  • Direct secure messaging: 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.

View all 14

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

Verify at the official NPI Registry.