Individual provider Active NPI

Rahul Somani, M.D.

  • Vascular & Interventional Radiology Physician
  • San Ramon, CA
National Provider Identifier
1033180203
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
P9260 Issued in TX
Practice address
5424 Heatherland Dr
San Ramon, CA 94582-5054
Phone
(925) 786-1402
Fax
(925) 968-1323
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X G87607 CA
Vascular & Interventional Radiology Physician 2085R0204X P9260 TX Primary
Diagnostic Radiology Physician 2085R0202X P9260 TX
Vascular & Interventional Radiology Physician 2085R0204X G87607 CA
Diagnostic Radiology Physician 2085R0202X 036108714 IL
Vascular & Interventional Radiology Physician 2085R0204X 036108714 IL
Phlebology Physician 202K00000X G87607 CA
Phlebology Physician 202K00000X P9260 TX
Phlebology Physician 202K00000X 036108714 IL

Addresses

Primary practice location

5424 Heatherland Dr
San Ramon, CA 94582-5054

Mailing address

5424 Heatherland Dr
San Ramon, CA 94582-5054
Phone (925) 786-1402

Other identifiers 3

IdentifierTypeStateIssuer
351855YMZSOtherTXMEDICARE INDIVIDUAL PTAN
351855YSWXOtherTXMEDICARE INDIVIDUAL PTAN
P01362568OtherTXMEDICARE RAILROAD PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036108714ILMDPhlebology Physician
P9260TXMDPhlebology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Imaging Consultants, a Medical Group, Inc. Diagnostic Radiology Past Accepting new patients
Medical Specialists Inc., PC Past Accepting new patients
Affiliates in Imaging, a Medical Group Inc Diagnostic Radiology Past Accepting new patients
Franciscan Physician Network Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rsomani182146@direct.llu.edu

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1033180203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 HEATHERLAND DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825054",
            "telephone_number": "925-786-1402",
            "fax_number": "925-968-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 HEATHERLAND DR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945825054",
            "telephone_number": "925-786-1402",
            "fax_number": "925-968-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMANI",
        "first_name": "RAHUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G87607",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "TX",
            "license": "P9260",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "P9260",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "G87607",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036108714",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036108714",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "CA",
            "license": "G87607",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "TX",
            "license": "P9260",
            "primary": false
        },
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "IL",
            "license": "036108714",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "351855YMZS",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "351855YSWX",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN",
            "identifier": "P01362568",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.