Individual provider Active NPI

Ned Kletz, MD

  • Psychiatry Physician
  • Santa Rosa, CA
National Provider Identifier
1669975470
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A177089 Issued in CA
Practice address
1287 Fulton Rd
Santa Rosa, CA 95401-4923
Phone
(707) 800-7700
Fax
(707) 800-7797
NPI assigned
Mar 18, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A177089 CA Primary

Addresses

Primary practice location

1287 Fulton Rd
Santa Rosa, CA 95401-4923

Mailing address

1450 W Long Lake Rd Ste 340
Troy, MI 48098-6330
Phone (248) 905-5091

Other practice location 1

5190 Neil Rd Ste 215
Reno, NV 89502-6509
Phone (775) 682-8469

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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
I20221007000552 CA Practitioner - Psychiatry 6901233915 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Psychiatric Solutions, PCGroup PAC ID 0042629701, 6 clinicians
Torrico Medical Group IncGroup PAC ID 3577081637, 5 clinicians

Practice addresses (Care Compare)

1287 Fulton Rd
Santa Rosa, CA 95401-4923
Phone (707) 800-7700

801 Seneca St
Ventura, CA 93001-1411
Phone (805) 653-6434

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177089CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Mind, PC Psychiatry CurrentSince Dec 7, 2025 Accepting new patients
Comprehensive Psychiatric Solutions, P.C. Psychiatry CurrentSince Jan 20, 2025 Accepting new patients
Permanente Medical Group Inc Psychiatry Current Accepting new patients
Permanente Medical Group, Inc CurrentSince Aug 1, 2022 Accepting new patients
Permanente Medical Group Inc Psychiatry CurrentSince Aug 1, 2022 Accepting new patients
Torrico Medical Group Inc Psychiatry CurrentSince Jul 1, 2025 Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

505 San Marin Dr
Ste B150
Novato, CA 94945
Phone (415) 761-9490

3900 Broadway
Oakland, CA 94611
Phone (510) 752-1075

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

275 W MacArthur Blvd
Piedmont, CA 94611
Phone (510) 752-1375

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

1450 W Long Lake Rd
Ste 340
Troy, MI 48098
Phone (248) 839-5381

1221 S Valley Grove Way
Ste 160
Pleasant Grove, UT 84062
Phone (801) 447-7189

Organizations & group practices 6

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": "1521331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1669975470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W LONG LAKE RD STE 340",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986330",
            "telephone_number": "248-905-5091",
            "fax_number": "248-905-5096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1287 FULTON RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014923",
            "telephone_number": "707-800-7700",
            "fax_number": "707-800-7797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5190 Neil Rd Ste 215",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895026509",
            "country_code": "US",
            "telephone_number": "775-682-8469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLETZ",
        "first_name": "NED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-18",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A177089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "275 W MacArthur Blvd",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946115641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.