Active NPI
Tomas Vasiliauskas, M.D.
- Cardiovascular Disease Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- C51710
- Practice address
- 500 Doyle Park Dr
Suite G05
Santa Rosa, CA 95405-4558 - Phone
- (707) 576-7100
- Fax
- (707) 576-8482
- NPI assigned
- Sep 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | C51710 | CA | Primary |
Addresses
Primary practice location
500 Doyle Park Dr
Suite G05
Santa Rosa, CA 95405-4558
Mailing address
500 Doyle Park Dr
Suite G05
Santa Rosa, CA 95405-4558
Phone (707) 576-7100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C51710 | Other | CA | CALIFORNIA STATE LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tvasiliauskas1658418@oc.providencedirect.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210
1375 University St
Healdsburg, CA 95448-3382
Phone (707) 547-5437
141 Lynch Creek Way
Suite C
Petaluma, CA 94954-2390
Phone (707) 763-0802
200 W Ctr St Promenade
Anaheim, CA 92805-3960
2700 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 445-8121
2710 Dolbeer St
Eureka, CA 95501-4736
Phone (707) 267-2060
500 Doyle Park Dr
Santa Rosa, CA 95405-4559
6580 Hembree LN
Suite 270
Windsor, CA 95492-6885
Phone (707) 838-2044
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C51710 | CA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Joseph Health Northern California, LLC | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| St. Joseph Health Northern California, LLC | Past | Accepting new patients | |
| Providence Medical Foundation | 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
1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025
1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901
1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210
500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842
500 Doyle Park Dr
Ste G05
Santa Rosa, CA 95405
Phone (707) 576-7100
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210
500 Doyle Park Dr
Ste G04
Santa Rosa, CA 95405
Phone (707) 303-8360
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
dba Providence Queen of the Valley Medical Center
- General Acute Care Hospital
- Napa, CA
- NPI 1235218785
-
- Urology Physician
- Apple Valley, CA
- NPI 1053616706
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba Providence Redwood Memorial Hospital
- Critical Access Hospital
- Fortuna, CA
- NPI 1043292303
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mendocino Coast District Hospital
- Critical Access Hospital
- Fort Bragg, CA
- NPI 1538113725
-
dba Petaluma Valley Hospital
- General Acute Care Hospital
- Petaluma, CA
- NPI 1235162645
-
dba Healdsburg Hospital
- Critical Access Hospital
- Healdsburg, CA
- NPI 1861009672
-
dba Providence Santa Rosa Memorial Hospital
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1134152549
-
dba Providence Humboldt Home Infusion
- Home Infusion Therapy Pharmacy
- Eureka, CA
- NPI 1568422319
Hospital
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Eureka, CA
- NPI 1609858950
-
dba Providence St. Joseph Hospital
- General Acute Care Hospital
- Eureka, CA
- NPI 1891900635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1073612529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 DOYLE PARK DR",
"address_2": "SUITE G05",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054558",
"telephone_number": "707-576-7100",
"fax_number": "707-576-8482"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 DOYLE PARK DR",
"address_2": "SUITE G05",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954054558",
"telephone_number": "707-576-7100",
"fax_number": "707-576-8482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASILIAUSKAS",
"first_name": "TOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "C51710",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA STATE LICENSE",
"identifier": "C51710",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tvasiliauskas1658418@oc.providencedirect.org",
"affiliation": "N",
"address_1": "500 Doyle Park Dr",
"city": "Santa Rosa",
"state": "CA",
"country_code": "US",
"postal_code": "954054558",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Nov 11, 2021; 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.