Individual provider Active NPI

Nathan Rheault, D.O.

  • Family Medicine Physician
  • Santa Cruz, CA
National Provider Identifier
1629488366
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18428 Issued in CA
Practice address
740 Front St Ste 345B
Santa Cruz, CA 95060-4561
Phone
(831) 419-6446
NPI assigned
May 2, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18428 CA Primary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 18428 CA

Addresses

Primary practice location

740 Front St Ste 345B
Santa Cruz, CA 95060-4561

Mailing address

1212 S Main St
Salinas, CA 93901-2260
Phone (831) 422-7777

Other practice location 1

1212 S Main St
Salinas, CA 93901-2260
Phone (831) 422-7777

Other practice location 2

1510 Capitola Rd
Santa Cruz, CA 95062-2912
Phone (831) 427-3500

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
I20200924002123 CA Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 7719251669 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

740 Front St
Suite 345B
Santa Cruz, CA 95060-4561
Phone (831) 419-6446

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Santa Cruz Community Health Centers CurrentSince Jul 10, 2025 Accepting new patients
Santa Cruz Community Health Centers Family Medicine CurrentSince Jul 10, 2025 Accepting new patients
Nathan Rheault DO PC CurrentSince Dec 12, 2023 Accepting new patients
Santa Cruz Community Health Centers CurrentSince Jul 10, 2025 Accepting new patients

Locations

231 Main St
#A
Ben Lomond, CA 95005
Phone (831) 336-1300

740 Front St
Ste 345B
Santa Cruz, CA 95060
Phone (408) 313-9779

250 Locust St
Santa Cruz, CA 95060
Phone (831) 427-3582

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1398988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1629488366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 S MAIN ST",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939012260",
            "telephone_number": "831-422-7777",
            "fax_number": "831-422-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FRONT ST STE 345B",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604561",
            "telephone_number": "831-419-6446"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1212 S Main St",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939012260",
            "country_code": "US",
            "telephone_number": "831-422-7777",
            "fax_number": "831-422-0136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1510 Capitola Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950622912",
            "country_code": "US",
            "telephone_number": "831-427-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RHEAULT",
        "first_name": "NATHAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-05-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "18428",
            "primary": true
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "18428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

Verify at the official NPI Registry.