NPIMap

Individual provider Active NPI

Rajveer Sangera, DO

  • Interventional Cardiology Physician
  • Santa Rosa, CA
National Provider Identifier
1003256546
Registry record updated Sep 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
20A18301 Issued in CA
Practice address
500 Doyle Park Dr Ste G04
Santa Rosa, CA 95405-4559
Phone
(707) 576-7100
NPI assigned
Jun 28, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R-9818 IA
Interventional Cardiology Physician 207RI0011X 20A18301 CA Primary

Addresses

Primary practice location

500 Doyle Park Dr Ste G04
Santa Rosa, CA 95405-4559

Mailing address

1111 6TH Ave.
Des Moines, IA 50314-2611
Phone (515) 643-2261

Other practice location 1

1111 6th Ave.
Des Moines, IA 50314-2611
Phone (515) 643-2261

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rsangera1658246@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200728001041 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8224271564 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

500 Doyle Park Dr
Suite G04
Santa Rosa, CA 95405-4559
Phone (707) 303-8360

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310
  • Adventist Health Mendocino Coast Hospital, Fort Bragg, CA, CCN 051325

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting55
Varicose vein removal11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
R-9818IAMDInternal Medicine Physician
20A18301CAMDInterventional Cardiology Physician
18301CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph Health Northern California, LLC Current Accepting new patients
Providence Medical Foundation CurrentSince Jul 27, 2020 Accepting new patients
St. Joseph Health Northern California, LLC CurrentSince Mar 15, 2021 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jul 27, 2020 Accepting new patients
Providence Medical Foundation Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

500 Doyle Park Dr
Ste G04
Santa Rosa, CA 95405
Phone (707) 303-8360

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664236800000",
    "number": "1003256546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE.",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142611",
            "telephone_number": "515-643-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DOYLE PARK DR STE G04",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054559",
            "telephone_number": "707-576-7100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave.",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142611",
            "country_code": "US",
            "telephone_number": "515-643-2261",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGERA",
        "first_name": "RAJVEER",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-28",
        "last_updated": "2022-09-27",
        "certification_date": "2022-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R-9818",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "20A18301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsangera1658246@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "500 Doyle Park Dr Ste G04",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954054559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.