Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Boren Hallett, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619436995

John Boren Hallett, MD is a Student in an Organized Health Care Education/Training Program in Rohnert Park, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5900 State Farm Dr Ste 200
Rohnert Park, CA 94928-2149
Phone: (707) 559-7500
Fax: (707) 559-7707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1179 N McDowell Blvd, Petaluma, CA 94954-6559 — (707) 559-7500
  • 4860 Y St Ste 2500, Sacramento, CA 95817-2307 — (916) 734-6978

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A178101 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1619436995
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 17, 2019
Last updated in NPPESOctober 20, 2022
Certification dateOctober 20, 2022

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