Doyle Park Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DOYLE PARK FAMILY MEDICINE

Practice address

510 Doyle Park Dr
Santa Rosa, CA 95405-4570

Phone

(707) 526-1800

Fax

(707) 522-1737

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Gary McLeod, M.D.

Title

President

Phone

(707) 526-1800

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Larry Slater, MD

  • Family Medicine Physician
  • Santa Rosa, CA
  • NPI 1871669788
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396803698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 DOYLE PARK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054570",
            "telephone_number": "707-526-1800",
            "fax_number": "707-522-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 DOYLE PARK DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054570",
            "telephone_number": "707-526-1800",
            "fax_number": "707-522-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOYLE PARK FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCLEOD",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-526-1800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0068710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Anthony Dowlearn, MD, MBA
• Mark Christopher Dowling, M.D.
• Joseph Michael Downey
• Asia Day Downing
• Simone Winkler Downs, DDS
• Kieran Stephen Doyle, MD
• Nancy Doyle, MD
• Norma Elaine Doyle
• Lindsay Dozier
• Dr Caleb Poon O D Inc

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.