Dominic Joseph Picetti is a Internal Medicine Physician practicing in Santa Rosa, California. The National Provider Identifier (NPI) is #1013413517, which was assigned on April 3, 2018, and the registration record was last updated on June 21, 2023. The practitioner's main practice location is at 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436; the contact telephone number is 7075764000. The primary taxonomy of Dominic Joseph Picetti is Internal Medicine Physician (207R00000X). Dominic Joseph Picetti is licensed to practice in the state of California (#A164045).
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
| NPI | 1013413517 |
| Entity Type | Individual |
| Provider Name | DOMINIC JOSEPH PICETTI |
| Gender | Male |
| Credential | MD |
| Practice Address |
30 Mark West Springs Rd Santa Rosa CA 95403-1436 |
| Practice Telephone | 7075764000 |
| Mailing Address |
601 Van Ness Ave Ste E3619 San Francisco CA 94102-3200 |
| Certification Date | 2023-06-21 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2023-06-21 |
| Is Sole Proprietor | N |
| PAC ID |
8325441363 Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID |
| Full Name | DOMINIC JOSEPH PICETTI |
| Medical School | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Primary Specialty | HOSPITALIST |
| Organization Legal Name | PACIFIC INPATIENT MEDICAL GROUP |
| Address |
3555 Cesar Chavez San Francisco CA 94110-4403 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | A164045 | CA |
| Address | Telephone | Fax |
|---|---|---|
| 402 Dickinson St, San Diego, CA 921036902 | 6195432429 | 6195436529 |
| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| Street Address |
30 MARK WEST SPRINGS RD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-1436 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Rohee Krishan | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | Hospitalist Physician | 2018-04-10 |
| Zhiyang Zhang | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 2026-03-14 |
| Kyle Glover | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | Internal Medicine Physician | 2018-06-25 |
| Molly Rebecca Kirkconnell | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | Family Medicine Physician | 2009-11-28 |
| Amy Ware | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | Acute Care Nurse Practitioner | 2025-07-23 |
| Rachel Subramanian | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | Hospitalist Physician | 2018-04-23 |
| Christopher Wade | 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 | Pharmacist | 2025-08-25 |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Jamie Roberta Yonash | 101 Wikiup Dr Ste 1, Santa Rosa, CA 95403-1375 | Rehabilitation Practitioner | 2007-08-21 |
| Leanne Augusta Low | 3883 Airway Dr, Santa Rosa, CA 95403-1670 | Pharmacist | 2023-04-18 |
| James Andrew Driscoll | 4001 Split Rail Ct, Santa Rosa, CA 95403-0178 | Pulmonary Disease Physician | 2006-11-01 |
| Rebecca Nixon | 5340 Skylane Blvd, Santa Rosa, CA 95403-1082 | Mental Health Counselor | 2026-01-07 |
| Robert John Silva | 3883 Airway Dr Ste 135a, Santa Rosa, CA 95403-1670 | Physical Therapist | 2016-08-03 |
| Gary Raymond Roper | 3883 Airway Dr Ste 101, Santa Rosa, CA 95403-1670 | Diagnostic Radiology Physician | 2010-06-17 |
| Rebekah A. Pope | 5340 Skylane Blvd, Santa Rosa, CA 95403-1082 | School Social Worker | 2007-10-18 |
| Janelle Lee | 5340 Skylane Blvd, Santa Rosa, CA 95403-1082 | Mental Health Counselor | 2023-01-24 |
| Inadvance Medicine Associates, P.C. | 3452 Mendocino Ave, Suite B, Santa Rosa, CA 95403 | Community Health Worker | 2024-10-11 |
| Sutter Bay Medical Foundation | 3883 Airway Dr, Suite 202, Santa Rosa, CA 95403-1670 | Clinical Medical Laboratory | 2016-08-04 |
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| Dominic Joseph | 3221 Highway 6, Sugar Land, TX 77478-4366 | Occupational Therapist | 2011-05-18 |
| Doc Dominic Lam | 4801 E Linwood Blvd, Kansas City, MO 64128-2226 | Registered Respiratory Therapist | 2025-08-08 |
| Dominic J Gordon | 1319 N Taylor Rd, Brandon, FL 33510-2422 | Adult Care Home Facility | 2025-08-02 |
| Dominic Narcisse | 6998 Old Cusseta Rd, Fort Benning, GA 31905-5431 | Other Specialist/Technologist | 2025-10-30 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |