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

Neil J Nathan, MD

Individual provider Family Medicine Physician · NPI 1174510788

Neil J Nathan, MD is a Family Medicine Physician in Santa Rosa, California. Licensed in Missouri. Registered with an NPI since 2005.

Licensed in
MO
In the registry since
2005
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

3471 Regional Pkwy
Santa Rosa, CA 95403-8209
Phone: (707) 575-5180
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence R5C40 (MO)

Record details

NPI number1174510788
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 29, 2005
Last updated in NPPESApril 1, 2009

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