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

Mondhipa Ratnarathorn, MD

Individual provider Dermatology Physician · NPI 1346552023

Mondhipa Ratnarathorn, MD is a Micrographic Dermatologic Surgery (Mds) in Santa Rosa, California. Graduated from University of California, Davis School of Medicine in 2009, 17 years ago. Practices with Sutter Bay Medical Foundation, a 3,762-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
17
Trained at
University of California, Davis School of Medicine
Licensed in
CA
In the registry since
2010
Specialties on file
4
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

3883 Airway Dr
Santa Rosa, CA 95403-1670
Phone: (707) 521-7760
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3301 C St, Sacramento, CA 95816-3300 — (916) 734-6111

Specialties & licences

MOHS-Micrographic Surgery Physician (primary) Taxonomy 207ND0101X · Licence A113146 (CA)
Dermatology Physician Taxonomy 207N00000X · Licence A113146 (CA)
Clinical & Laboratory Dermatological Immunology Physician Taxonomy 207NI0002X · Licence A113146 (CA)
Procedural Dermatology Physician Taxonomy 207NS0135X · Licence A113146 (CA)

Record details

NPI number1346552023
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2010
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Also practisesDERMATOLOGY
Medical schoolUNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Sutter Bay Medical Foundation — 3762 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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