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NATHAN RHEAULT DO PC
NPI 1174390900
Clinic/Center - Medical Specialty in Santa Cruz, CA

Active since December 12, 2023
740 FRONT ST STE 345B, SANTA CRUZ, CA 95060(831) 419-6446(949) 561-5836 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nathan Rheault Do Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NATHAN RHEAULT DO PC (NPI 1174390900) is a healthcare organization registered as a medical specialty in Santa Cruz, California and active in the NPI registry since December 2023. The organization lists Nathan Rheault, Physician Owner, as its authorized official.

NPPES Registry Identity

NPI1174390900
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameNATHAN RHEAULT DO PC
Location Address740 FRONT ST STE 345BSanta Cruz, CA 95060-4561
Mailing Address740 Front St Ste 345bSanta Cruz, CA 95060-4561 · (831) 419-6446 · Fax (949) 561-5836
Phone(831) 419-6446
Fax(949) 561-5836
Organization SubpartNo
Authorized OfficialNathan RheaultPhysician Owner · (831) 419-6446
Enumeration DateDecember 12, 2023
NPPES CertifiedDecember 12, 2023
✔ NPI 1174390900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
740 FRONT ST STE 345B, Santa Cruz, CA 95060
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nathan Rheault Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Nathan Rheault Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nathan Rheault, D.O.
Family Practice
NPI 1629488366
740 FRONT ST STE 345B
Santa Cruz, CA 95060
(831) 419-6446
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nathan Rheault Do PC's NPI number?

The NPI number for Nathan Rheault Do PC is 1174390900. It was assigned to this organization in the NPPES registry on December 12, 2023.

Where is Nathan Rheault Do PC located?

Nathan Rheault Do PC is located at 740 Front St Ste 345B, Santa Cruz, CA 95060. The listed phone number is (831) 419-6446.

What is Nathan Rheault Do PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Nathan Rheault Do PC enrolled in Medicare?

Yes. Nathan Rheault Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nathan Rheault Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Nathan Rheault Do PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Nathan Rheault Do PC was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.