MARK ALAN NETHERDA M.D.
NPI 1225245657
Family Medicine in Santa Rosa, CA

Active since May 16, 2007
625 5TH ST, SANTA ROSA, CA 95404(707) 565-7400 Get Directions Write a Review

NPPES record last updated: February 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Alan Netherda M.d. NPPES

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

MARK ALAN NETHERDA M.D. (NPI 1225245657) is an individual family medicine provider in Santa Rosa, California, licensed in California (G67595) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1225245657
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMARK ALAN NETHERDACredential: M.D.
Location Address625 5TH STSanta Rosa, CA 95404-4428
Mailing Address625 5th StSanta Rosa, CA 95404-4428 · (707) 565-4400
Sole ProprietorNo
Enumeration DateMay 16, 2007
Last NPPES UpdateFebruary 8, 2011
NPI 1225245657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · G67595
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

625 5TH ST, Santa Rosa, CA 95404

Other Identifiers 1

Medicare UPINF16265

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Social Worker
625 5TH ST
SANTA ROSA, CA 95404
Registered Nurse
625 5TH ST
SANTA ROSA, CA 95404
Community Health Worker
625 5TH ST
SANTA ROSA, CA 95404

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 Mark Netherda's NPI number?

The NPI number for Mark Netherda is 1225245657. It was assigned to this individual provider in the NPPES registry on May 16, 2007.

Where is Mark Netherda located?

Mark Netherda practices at 625 5th St, Santa Rosa, CA 95404. The listed phone number is (707) 565-7400.

What is Mark Netherda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Mark Netherda was last updated on February 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.