Santa Rosa Vein Associates, Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

SANTA ROSA VEIN ASSOCIATES, INC

Practice address

990 Sonoma Ave Ste 2
Santa Rosa, CA 95404-4813

Phone

(707) 636-8346

Fax

(707) 205-1008

NPI assigned

Dec 5, 2016

Organization subpart

No

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

Authorized official

Name

Jose V Ballesteros, M.D.NPI 1770527269

Title

President

Phone

(707) 636-8346

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Veloso Ballesteros, M.D.

  • Cardiovascular Disease Physician
  • Santa Rosa, CA
  • NPI 1770527269
  Medicare reassignment NPD Authorized official
• Carla M Evans, FNP

  • Nurse Practitioner
  • Santa Rosa, CA
  • NPI 1083945653
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756166400000",
    "number": "1144764523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE",
            "address_2": "SUITE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044813",
            "telephone_number": "707-636-8346",
            "fax_number": "707-205-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 SONOMA AVE STE 2",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044813",
            "telephone_number": "707-636-8346",
            "fax_number": "707-205-1008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTA ROSA VEIN ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A",
        "authorized_official_last_name": "BALLESTEROS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-636-8346",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Santa Rosa Surgery Center L P (Santa Rosa Surgery and Endoscopy Center)
• Santa Rosa Surgical Associates
• Santa Rosa Surgical Services LLC
• Santa Rosa Trauma Physicians Medical Group
• Santa Rosa Treatment Program, Inc.
• Santa Rosaidence Opco, LLC (Santa Rosa Post Acute)
• Janice Santamaria
• Dulce Samantha Santana Gonzalez, FNP-C
• Noemi Santana, MD
• Gema G. Santiago Ramirez

• Cardiovascular Disease Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.