Active NPI
Nancy Doyle, MD
- Pediatrics Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G25592
- Practice address
- 3324 Chanate Rd
Santa Rosa, CA 95404-1708 - Phone
- (707) 576-4498
- Fax
- (707) 576-4087
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G25592 | CA | Primary |
Addresses
Primary practice location
3324 Chanate Rd
Santa Rosa, CA 95404-1708
Mailing address
3420 Montecito Ave
Santa Rosa, CA 95404-2627
Phone (707) 576-4498
Other names 1
- Nancy E Doyle
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G25592 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Pediatrics | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients |
Locations
131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700
4702 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 545-2255
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
Interoperability endpoints
- ndoyle87719@hisp.ehr.sutterhealth.org
Organizations & group practices 3
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.
-
dba Palo Alto Medial Foundation
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
dba Sutter Pacific Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1003267196
Pediatrics
-
dba Palo Alto Medical Foundation
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1851425888",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3420 MONTECITO AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954042627",
"telephone_number": "707-576-4498",
"fax_number": "707-576-4087"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3324 CHANATE RD",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954041708",
"telephone_number": "707-576-4498",
"fax_number": "707-576-4087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "NANCY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G25592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NANCY",
"last_name": "DOYLE",
"middle_name": "E",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Sep 27, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.