Individual provider Active NPI

Kenneth Joseph Tobin, DO

  • Cardiovascular Disease Physician
  • Sonoma, CA
National Provider Identifier
1700962727
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25035 Issued in CA
Practice address
651 1St St W Ste L
Sonoma, CA 95476-7046
Phone
(707) 935-1470
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 5101011720 MI
Cardiovascular Disease Physician 207RC0000X 25035 CA Primary
Internal Medicine Physician 207R00000X 5101011720 MI

Addresses

Primary practice location

651 1St St W Ste L
Sonoma, CA 95476-7046

Mailing address

651 1St St W Ste L
Sonoma, CA 95476-7046
Phone (707) 935-1470

Other practice location 1

3250 Beard Rd
Napa, CA 94558-3406
Phone (415) 927-0666

Other practice location 2

335 S McDowell Blvd
Petaluma, CA 94954-3507
Phone (415) 927-0666

Other identifiers 1

IdentifierTypeStateIssuer
4709100MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040414001363 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3072507631 Reassigns benefits to 5 organizations
I20050406000832 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Osteopathic Manipulative Medicine 3072507631 Reassigns benefits to 1 organization
I20160920002087 KS Practitioner - Cardiovascular Disease (Cardiology) 3072507631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Regents Univ of California UCSFGroup PAC ID 6305160300, 276 clinicians

Practice addresses (Care Compare)

1051 N Canton Ctr Rd
Canton, MI 48187-5097
Phone (888) 287-1082

1500 E Medical Ctr Dr
Ann Arbor, MI 48109-5000
Phone (888) 287-1082

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105-9484
Phone (888) 287-1082

325 Briarwood Cir
Ann Arbor, MI 48108-1605
Phone (888) 287-1082

375 Briarwood Cir
Ann Arbor, MI 48108-1605
Phone (888) 287-1082

39901 Traditions Dr
Northville, MI 48168-9493
Phone (888) 287-1082

505 Parnassus Ave
San Francisco, CA 94143-2204
Phone (415) 476-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25035CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Promed Healthcare CurrentSince Dec 31, 2017 Accepting new patients
Ascension Borgess Hospital CurrentSince Dec 31, 2017 Accepting new patients
Vpa PC Internal Medicine CurrentSince Aug 29, 2009 Accepting new patients
Iah of Michigan, PLLC Internal Medicine CurrentSince Mar 27, 2018 Accepting new patients
Ascension Medical Group Promed Internal Medicine CurrentSince Dec 31, 2017 Accepting new patients
Vpa PC Internal Medicine CurrentSince Aug 20, 2016 Accepting new patients
Vpa PC Current Accepting new patients
Ascension Medical Group Promed Internal Medicine Current Accepting new patients
Ascension Borgess Hospital Current Accepting new patients
Ascension Borgess Hospital Cardiovascular Disease CurrentSince Dec 31, 2017 Accepting new patients
Regents Univ of California UCSF Internal Medicine CurrentSince Feb 12, 2026 Accepting new patients
Regents of the University of Michigan Cardiovascular Disease Past Accepting new patients
Regents of the University of Michigan Past Accepting new patients

Locations (25 of 26)

3250 Beard Rd
Napa, CA 94558
Phone (707) 224-7944

335 S McDowell Blvd
Petaluma, CA 94954
Phone (415) 493-3800

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

651 1st St W
Ste L
Sonoma, CA 95476
Phone (707) 935-5189

9001 Wesleyan Rd
Ste 100
Indianapolis, IN 46268
Phone (317) 497-5530

9393 W 110th St
Ste 500
Overland Park, KS 66210
Phone (573) 234-1800

555 Linn St
Allegan, MI 49010
Phone (269) 673-8424

3035 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 565-9100

360 E Chicago St
Ste 108
Coldwater, MI 49036
Phone (517) 279-2885

30 S Howell St
Hillsdale, MI 49242
Phone (517) 437-2490

3025 Gull Rd
Kalamazoo, MI 49048
Phone (269) 343-1264

6565 W Main St
Kalamazoo, MI 49009
Phone (269) 375-0400

1717 Shaffer St
Ste 232
Kalamazoo, MI 49048
Phone (269) 226-5050

1722 Shaffer St
Ste 1
Kalamazoo, MI 49048
Phone (269) 381-3963

1521 Gull Rd
Kalamazoo, MI 49048
Phone (269) 226-5165

215 E Mansion St
Ste 3B
Marshall, MI 49068
Phone (269) 343-1264

24466 Red Arrow Hwy
Mattawan, MI 49071
Phone (269) 668-4180

2205 Jolly Rd
Ste B
Okemos, MI 48864
Phone (517) 347-4085

671 Allegan St
Ste B
Plainwell, MI 49080
Phone (269) 685-3123

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

7901 Angling Rd
Ste 7
Portage, MI 49024
Phone (269) 381-3963

600 S Lakeview Ave
Ste 105
Sturgis, MI 49091
Phone (269) 651-9470

711 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

500 Kirts Blvd
Ste 150
Troy, MI 48084
Phone (248) 824-6299

500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060

Organizations & group practices 14

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.

View all 14

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": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1700962727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 1ST ST W STE L",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767046",
            "telephone_number": "707-935-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 1ST ST W STE L",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954767046",
            "telephone_number": "707-935-1470"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3250 Beard Rd",
            "address_purpose": "LOCATION",
            "city": "Napa",
            "state": "CA",
            "postal_code": "945583406",
            "country_code": "US",
            "telephone_number": "415-927-0666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "335 S McDowell Blvd",
            "address_purpose": "LOCATION",
            "city": "Petaluma",
            "state": "CA",
            "postal_code": "949543507",
            "country_code": "US",
            "telephone_number": "415-927-0666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "KENNETH",
        "middle_name": "JOSEPH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MI",
            "license": "5101011720",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "25035",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101011720",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4709100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.