Individual provider Active NPI

Dale Gardner Britt, M.D.

  • Pediatrics Physician
  • Santa Rosa, CA
National Provider Identifier
1750584686
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C42306 Issued in CA
Practice address
4727 Sheehan LN
Santa Rosa, CA 95404-9743
Phone
(707) 545-3724
Fax
(707) 575-7670
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X C42306 CA
Pediatrics Physician 208000000X C42306 CA Primary

Addresses

Primary practice location

4727 Sheehan LN
Santa Rosa, CA 95404-9743

Mailing address

4727 Sheehan LN
Santa Rosa, CA 95404-9743
Phone (707) 545-3724

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
I20071214000313 CA Practitioner - Emergency Medicine 0749370781 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Baylor College of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C42306CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Chase Dennis Emergency Medical Group Inc CurrentSince Oct 1, 2007 Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2016 Accepting new patients
Providence Medical Foundation CurrentSince Apr 1, 2016 Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

1621 W Imola Ave
Napa, CA 94559
Phone (707) 251-4280

1100 Trancas St
Ste 209
Napa, CA 94558
Phone (707) 251-1850

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

925 Corporate Cntr Pkwy
Ste A
Santa Rosa, CA 95407
Phone (707) 543-2000

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1750584686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 SHEEHAN LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954049743",
            "telephone_number": "707-545-3724",
            "fax_number": "707-575-7670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 SHEEHAN LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954049743",
            "telephone_number": "707-545-3724",
            "fax_number": "707-575-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITT",
        "first_name": "DALE",
        "middle_name": "GARDNER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "CA",
            "license": "C42306",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C42306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.