Active NPI
Viswanathan Gajendran, MD
- Urology Physician
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A69056
- Practice address
- 1600 Eureka Rd
Roseville, CA 95661-3027 - Phone
- (916) 784-4000
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A69056 | CA | Primary |
Addresses
Primary practice location
1600 Eureka Rd
Roseville, CA 95661-3027
Mailing address
1800 Harrison St FL 7
Oakland, CA 94612-3429
Phone (510) 625-6262
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101208001282 | CA | Practitioner - Urology | 7416144043 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-3588
550 W Ranch View Dr
Rocklin, CA 95765-5396
Phone (916) 295-5766
Hospital & facility affiliations
- University of California Davis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.15 of 100
- Quality
- 64.8
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 68.65
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.11 of 100
- Quality
- 86.24
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A69056 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Permanente Medical Group Inc | Current | Accepting new patients | |
| Regents of the Univ of Ca | Urology | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients |
Locations
1800 Harrison St
Fl 7
Oakland, CA 94612
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
550 W Ranch View Dr
Ste 2005
Rocklin, CA 95765
Phone (916) 295-5700
550 W Ranch View Dr
Rocklin, CA 95765
Phone (916) 295-5700
1600 Eureka Rd
Roseville, CA 95661
Phone (916) 474-7777
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700
4860 Y St
Ste 2200
Sacramento, CA 95817
Phone (916) 734-2222
4868 X St
Ste 3E
Sacramento, CA 95817
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
Organizations & group practices 10
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.
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
CA
-
- Internal Medicine Physician
- Redwood City, CA
- NPI 1639252604
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Multi-Specialty Clinic/Center
- Rocklin, CA
- NPI 1518947167
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
-
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053499731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HARRISON ST FL 7",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946123429",
"telephone_number": "510-625-6262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 EUREKA RD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613027",
"telephone_number": "916-784-4000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAJENDRAN",
"first_name": "VISWANATHAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "CA",
"license": "A69056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.