Individual provider Active NPI

Mounir Belcadi, MD

  • Psychiatry Physician
  • Santa Rosa, CA
National Provider Identifier
1053341073
Registry record updated Nov 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A93642 Issued in CA
Practice address
1335 North Dutton Ave
Santa Rosa, CA 95401
Phone
(707) 579-8703
Fax
(707) 579-8755
NPI assigned
Jul 4, 2006
Last updated
Nov 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A93642 CA
Psychiatry Physician 2084P0800X A93642 CA Primary

Addresses

Primary practice location

1335 North Dutton Ave
Santa Rosa, CA 95401

Mailing address

1335 N Dutton Ave
Santa Rosa, CA 95401-4609
Phone (707) 579-8703

Other practice location 1

200 Hillmont Ave
Ventura, CA 93003-1647
Phone (805) 652-6729

Other identifiers 1

IdentifierTypeStateIssuer
A93642OtherCAMEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mounir.belcadi@ventura.cernerdirect.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060801000318 CA Practitioner - Psychiatry 9032122486 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of VenturaGroup PAC ID 7911810171, 340 clinicians

Practice addresses (Care Compare)

300 Hillmont Ave
Ventura, CA 93003-1651
Phone (805) 652-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
64.51
Promoting interoperability
100
Improvement activities
40
Cost
72.21

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93642CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Traditions Psychiatry Group, P.C Psychiatry CurrentSince May 5, 2018 Accepting new patients
County of Ventura CurrentSince Jul 19, 2024 Accepting new patients
County of Ventura Current Accepting new patients
County of Ventura CurrentSince Jul 19, 2024 Accepting new patients
Belcadi Psychiatry Current Accepting new patients
Mounir Belcadi, MD Psychiatry PastSince Jan 1, 1990 Accepting new patients
North Bay Psychiatric Associates Inc Psychiatry PastSince Jun 9, 2009 Accepting new patients
Providence Medical Foundation PastSince Nov 24, 2025 Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1580 1st St
Napa, CA 94559
Phone (707) 200-8225

1287 Fulton Rd
Santa Rosa, CA 95401
Phone (707) 543-2031

200 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-5755

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

800 S Victoria Ave
#L4640
Ventura, CA 93009

Interoperability endpoints

  • Direct secure messaging: mounir.belcadi@ventura.cernerdirect.com

Organizations & group practices 8

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

Hospital & facility affiliations 1

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1053341073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 N DUTTON AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014609",
            "telephone_number": "707-579-8703",
            "fax_number": "707-579-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 NORTH DUTTON AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95401",
            "telephone_number": "707-579-8703",
            "fax_number": "707-579-8755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hillmont Ave",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930031647",
            "country_code": "US",
            "telephone_number": "805-652-6729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELCADI",
        "first_name": "MOUNIR",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A93642",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A93642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A93642",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mounir.belcadi@ventura.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Direct Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Information",
            "address_1": "200 Hillmont Ave",
            "city": "Ventura",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930031647",
            "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.