NPIMap

Individual provider Active NPI

Thomas Alan Neal, M.D.

  • Family Medicine Physician
  • Healdsburg, CA
National Provider Identifier
1649298910
Registry record updated Mar 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G59441 Issued in CA
Practice address
717 Center St
Healdsburg, CA 95448-3654
Phone
(707) 433-7258
Fax
(707) 433-8807
NPI assigned
Jul 17, 2006
Last updated
Mar 1, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2013

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 G59441 CA Primary

Addresses

Primary practice location

717 Center St
Healdsburg, CA 95448-3654

Mailing address

717 Center St
Healdsburg, CA 95448-3654
Phone (707) 433-7258

Other identifiers 1

IdentifierTypeStateIssuer
00G594411MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040315001605 CA Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 3072403070 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
University of Southern California Keck School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

717 Ctr St
Healdsburg, CA 95448-3604
Phone (707) 433-7258

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions56
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
59441CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Santa Rosa Community Health Centers CurrentSince Jan 17, 2025 Accepting new patients
Santa Rosa Community Health Centers Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Santa Rosa Community Health Centers CurrentSince Jan 17, 2025 Accepting new patients
Sutter West Bay Medical Foundation Family Medicine Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
North Coast Faculty Medical Group Inc Past Accepting new patients

Locations

717 Center St
Healdsburg, CA 95448
Phone (707) 433-7258

131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700

2455 Summerfield Rd
Santa Rosa, CA 95405
Phone (707) 308-2815

3569 Round Barn Cir
Santa Rosa, CA 95403

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

8465 Old Redwood Hwy
Ste 320
Windsor, CA 95492
Phone (707) 433-5494

Interoperability endpoints

  • Direct secure messaging: tneal14643@hisp.ehr.sutterhealth.org
  • Direct secure messaging: tneal627546@direct.ochin.org

Organizations & group practices 10

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.

Hospital & facility affiliations 3

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362096000000",
    "number": "1649298910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 CENTER ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483654",
            "telephone_number": "707-433-7258",
            "fax_number": "707-433-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 CENTER ST",
            "city": "HEALDSBURG",
            "state": "CA",
            "postal_code": "954483654",
            "telephone_number": "707-433-7258",
            "fax_number": "707-433-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "THOMAS",
        "middle_name": "ALAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G59441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G594411",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Healdsburg, CA

Sources for this page

Verify at the official NPI Registry.