Active NPI
Swaminadhan Gnanashanmugam, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Saint Helena, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- A171765
- Practice address
- 10 Woodland Rd
Saint Helena, CA 94574-9554 - Phone
- (650) 804-8093
- NPI assigned
- Oct 15, 2008
- Last updated
- Nov 11, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 036157660 | IL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | ME173914 | FL | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | A171765 | CA | Primary |
Addresses
Primary practice location
10 Woodland Rd
Saint Helena, CA 94574-9554
Mailing address
5082 Dupont Dr
Santa Rosa, CA 95409-3743
Phone (650) 804-8093
Other practice location 1
17360 Brookhurst Street
Fountain Valley, CA 92708-3720
Phone (714) 665-1797
Other practice location 2
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-3455
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128981100 | Medicaid | FL | |
| WF482 | Other | FL | HFMG |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://memorialcare.org/fhir/api/FHIR/R4/ | Health Information Exchange (HIE) | MemorialCare Medical Foundation |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Northwestern University Feinberg Medical School, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 I St
Marysville, CA 95901-5626
Phone (530) 743-5125
500 Doyle Park Dr
Suite G05
Santa Rosa, CA 95405-4555
Phone (707) 576-7100
Hospital & facility affiliations
- Providence Santa Rosa Memorial Hospital
- Adventist Health St Helena
- Providence St Joseph Hospital
- Adventist Health and Rideout
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 28 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Leg revascularization (restoring blood flow) | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A171765 | CA | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| ME173914 | FL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Health First Medical Group, LLC | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| Memorialcare Medical Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current | Accepting new patients | |
| Providence Medical Foundation | Current | Accepting new patients | |
| Adventist Health Physicians Network | Current | Accepting new patients | |
| St. Helena Hospital | Current | Accepting new patients | |
| Health First Medical Group, LLC | Surgery | Current | Accepting new patients |
| St. Helena Hospital | Current | Accepting new patients | |
| Adventist Health Heart Institute-Ukiah | Past | Accepting new patients |
Locations
913 Washington St
Calistoga, CA 94515
Phone (707) 942-0844
722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300
17360 Brookhurst St
Fountain Vly, CA 92708
Phone (657) 241-3592
2888 Long Beach Blvd
Ste 165
Long Beach, CA 90806
Phone (562) 595-5380
401 I St
Marysville, CA 95901
Phone (530) 671-3526
10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 261-7821
6 Woodland Rd
Ste 202
Saint Helena, CA 94574
Phone (707) 963-5294
1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
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
699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272
1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771
1350 Hickory St
Ste 102
Melbourne, FL 32901
Phone (321) 434-3455
Dept 5777
Carol Stream, IL 60122
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
25 N Winfield Rd
Ste 201
Winfield, IL 60190
Phone (630) 933-4480
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- sgnanashanmugam796448@direct.memorialcare.org
Organizations & group practices 15
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.
-
- Multi-Specialty Clinic/Center
- Hanford, CA
- NPI 1063718583
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Clinic/Center
- Fountain Valley, CA
- NPI 1205167350
-
dba Adventist Health St. Helena
- General Acute Care Hospital
- Saint Helena, CA
- NPI 1720078082
-
dba Northwestern Medical Group
- Multi-Specialty Clinic/Center
- Carol Stream, IL
- NPI 1346235314
-
- Physical Therapy Clinic/Center
- Paradise, CA
- NPI 1134092190
-
- Orthopaedic Surgery Physician
- Yuba City, CA
- NPI 1700384708
-
- Urology Physician
- Apple Valley, CA
- NPI 1053616706
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventist Health and Rideout
- General Acute Care Hospital
- Marysville, CA
- NPI 1720088354
-
dba Adventist Health St. Helena
- General Acute Care Hospital
- Saint Helena, CA
- NPI 1720078082
-
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": "1224028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762819200000",
"number": "1073765517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5082 DUPONT DR",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954093743",
"telephone_number": "650-804-8093",
"fax_number": "650-804-8093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 WOODLAND RD",
"city": "SAINT HELENA",
"state": "CA",
"postal_code": "945749554",
"telephone_number": "650-804-8093"
}
],
"practiceLocations": [
{
"address_1": "17360 Brookhurst Street",
"address_purpose": "LOCATION",
"city": "Fountain Valley",
"state": "CA",
"postal_code": "927083720",
"country_code": "US",
"telephone_number": "714-665-1797",
"fax_number": "714-665-4680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-3455",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GNANASHANMUGAM",
"first_name": "SWAMINADHAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-15",
"last_updated": "2025-11-11",
"certification_date": "2025-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "IL",
"license": "036157660",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "FL",
"license": "ME173914",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "CA",
"license": "A171765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128981100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFMG",
"identifier": "WF482",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://memorialcare.org/fhir/api/FHIR/R4/",
"affiliation": "Y",
"endpointDescription": "MemorialCare FHIR Endpoint",
"affiliationName": "MemorialCare Medical Foundation",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "FHIR",
"address_1": "17360 Brookhurst St",
"city": "Fountain Valley",
"state": "CA",
"country_code": "US",
"postal_code": "927083720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Helena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.