Individual provider Active NPI

Rakesh Safaya, MD

  • Vascular Surgery Physician
  • Fremont, CA
National Provider Identifier
1144337866
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
C51977 Issued in CA
Practice address
39141 Civic Center Dr Ste 335
Fremont, CA 94538-5878
Phone
(510) 248-1420
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X C51977 CA Primary

Addresses

Primary practice location

39141 Civic Center Dr Ste 335
Fremont, CA 94538-5878

Mailing address

1122 Casa Marcia PL
Fremont, CA 94539-3681

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
I20080214000227 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 6103857602 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

39141 Civic Ctr Dr
Suite 335
Fremont, CA 94538-5878
Phone (510) 248-1400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.74 of 100Reported as group
Quality
66.48
Promoting interoperability
100
Improvement activities
40
Cost
75.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)1-10
Varicose vein removal48
Leg revascularization (restoring blood flow)1-10
Removal of tissue209
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Interventional Surgical Center CurrentSince Oct 8, 2018 Accepting new patients
Advanced Interventional Surgical Center CurrentSince Oct 8, 2018 Accepting new patients
Washington Township Medical Foundation CurrentSince Nov 27, 2023 Accepting new patients
Washington Township Medical Foundation Vascular Surgery CurrentSince Nov 27, 2023 Accepting new patients
Washington Township Medical Group Past Accepting new patients
John N Diaconou MD PS Past Accepting new patients
Commonspirit Washington Past Accepting new patients

Locations

3077 Stevenson Blvd
Fremont, CA 94538
Phone (510) 438-9154

39141 Civic Center Dr
Ste 335
Fremont, CA 94538
Phone (510) 248-1400

39300 Civic Center Dr
Ste 370
Fremont, CA 94538
Phone (510) 248-1000

39500 Fremont Blvd
Ste 100
Fremont, CA 94538
Phone (510) 248-1800

1900 Mowry Ave
Ste 404
Fremont, CA 94538
Phone (510) 248-1800

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rsafaya13796@direct.whhs.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

Hospital & facility affiliations 2

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": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698624000000",
    "number": "1144337866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 CASA MARCIA PL",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945393681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39141 CIVIC CENTER DR STE 335",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385878",
            "telephone_number": "510-248-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAFAYA",
        "first_name": "RAKESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "C51977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

Verify at the official NPI Registry.