Active NPI
Yadira Raya-Cervantes, MD
- Family Medicine Physician
- Santa Rosa, CA
National Provider Identifier
1063117752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PTL14169
- Practice address
- 3569 Round Barn Cir Ste 200
Santa Rosa, CA 95403-5784 - Phone
- (707) 583-8800
- NPI assigned
- Apr 3, 2023
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PTL14169 | CA | Primary |
Addresses
Primary practice location
3569 Round Barn Cir Ste 200
Santa Rosa, CA 95403-5784
Mailing address
3569 Round Barn Cir Ste 200
Santa Rosa, CA 95403-5784
Phone (707) 583-8800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782259200000",
"number": "1063117752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3569 ROUND BARN CIR STE 200",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954035784",
"telephone_number": "707-583-8800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3569 ROUND BARN CIR STE 200",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954035784",
"telephone_number": "707-583-8800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAYA-CERVANTES",
"first_name": "YADIRA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2026-06-24",
"certification_date": "2026-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "PTL14169",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.