NPIMap

Individual provider Active NPI

Sara Dastmalchian, M.D.

  • Vascular & Interventional Radiology Physician
  • San Francisco, CA
National Provider Identifier
1275066706
Registry record updated Jun 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A177901 Issued in CA
Practice address
505 Parnassus Ave
San Francisco, CA 94143-2204
Phone
(415) 353-2573
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X A177901 CA Primary

Addresses

Primary practice location

505 Parnassus Ave
San Francisco, CA 94143-2204

Mailing address

505 Parnassus Ave
San Francisco, CA 94143-2204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231106000446 CA Practitioner - Diagnostic Radiology 2961859467 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aria Vascular a Professional Medical CorporationGroup PAC ID 6204350093, 10 clinicians
Advanced Radiology and Interventional Associates IncGroup PAC ID 2163816448, 99 clinicians

Practice addresses (Care Compare)

1611 W March LN
Stockton, CA 95207-6401
Phone (209) 226-3400

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.08 of 100Reported as individual
Quality
68.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A177901CAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aria Vascular a Professional Medical Corporation CurrentSince Apr 1, 2025 Accepting new patients
Advanced Radiology and Interventional Associates Inc Vascular & Interventional Radiology CurrentSince Aug 24, 2023 Accepting new patients
Authority Vascular Surgery Incorporated CurrentSince Apr 6, 2025 Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

450 Glass Ln
Ste C
Modesto, CA 95356

2175 Rosaline Ave
Ste A
Redding, CA 96001
Phone (530) 225-7400

2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247

3439 Brookside Rd
Ste 107
Stockton, CA 95219
Phone (209) 466-5027

1617 N California St
Ste 107
Stockton, CA 95204

607 E Magnolia St
Stockton, CA 95202
Phone (209) 616-6600

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

1611 W March Ln
Stockton, CA 95207
Phone (209) 226-3400

1617 N California St
Ste 1A
Stockton, CA 95204
Phone (209) 467-6363

Interoperability endpoints

  • Direct secure messaging: sara.dastmalchian@hca4.eclinicaldirectplus.com

Organizations & group practices 10

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 6

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687046400000",
    "number": "1275066706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PARNASSUS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941432204",
            "telephone_number": "415-353-2573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DASTMALCHIAN",
        "first_name": "SARA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2023-06-18",
        "certification_date": "2023-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A177901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.