Myles Julian Ketchum, MD, PHD
Myles Julian Ketchum, MD, PHD is registered under Family Practice in Santa Rosa, California. Graduated from Louisiana State University School of Medicine in New Orleans in 2017, 9 years ago. Practices with Shasta Community Health Center, a 63-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.
- Years since qualifying
- 9
- Trained at
- Louisiana State University School of Medicine in New Orleans
- Licensed in
- CA
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
2360 Mendocino AveSanta Rosa, CA 95403-3153
Phone: (707) 573-5250
Fax: (707) 573-5458
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction Medicine (Family Medicine) Physician (primary) | Taxonomy 207QA0401X · Licence 1211497 (CA) |
|---|---|
| Addiction Medicine (Preventive Medicine) Physician | Taxonomy 2083A0300X · Licence 61-25999 (CA) |
Record details
| NPI number | 1093249864 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD , PHD |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2017 |
| Last updated in NPPES | May 27, 2025 |
| Certification date | May 27, 2025 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS |
| Graduated | 2017 (9 years in practice) |
| Group practice | Shasta Community Health Center — 63 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |
Medicare patients and services, 2024
| Medicare patients | 97 |
|---|---|
| Services billed | 174 |
| Average patient age | 73 |
Practises at
- Sutter Santa Rosa Regional Hospital Hospital · Santa Rosa, CA · listed as Sutter Bay Hospitals
- Sutter Care At Home Home health agency · Santa Rosa, CA
Colleagues at Shasta Community Health Center
- Prathibha Chandrasekaran, MD Gastroenterology Physician · Redding, CA
- Jesse Curran, MD Family Medicine Physician · Redding, CA
- Dr. Paul C Davainis, MD Family Medicine Physician · Anderson, CA
- Dr. Tram Ly Hoff, MD Family Medicine Physician · Redding, CA
- Mr. Kyung Woon Lee, FNP Psychiatric/Mental Health Nurse Practitioner · Redding, CA
- Sarah Massatt Family Medicine Physician · Redding, CA
- Dr. Heidi C Mist, MD, MPHTM General Practice Physician · Red Bluff, CA
- Darrick P. Nelson, MD Family Medicine Physician · Silver City, NM
- Dr. Natalie Nelson, MD Family Medicine Physician · Redding, CA
- Maria M Nicora Bia, MD Family Medicine Physician · Anderson, CA
- Dr. Jacob A Suazo, MD Student in an Organized Health Care Education/Training Program · Redding, CA
- Calista Mae Vinyard Family Medicine Physician · Redding, CA