Active NPI
Ned Kletz, MD
- Psychiatry Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A177089
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| A177089 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Mind, PC | Psychiatry | Current | Accepting new patients |
| Comprehensive Psychiatric Solutions, P.C. | Psychiatry | Current | Accepting new patients |
| Permanente Medical Group Inc | Psychiatry | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Psychiatry | Current | Accepting new patients |
| Torrico Medical Group Inc | Psychiatry | Current | 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.
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- Psychiatry Physician
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- NPI 1740758754
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- Psychiatry Physician
- Santa Rosa, CA
- NPI 1033926480
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- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Psychiatry Physician
- Novato, CA
- NPI 1013722743
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.