NPIMap

Individual provider Active NPI

Praseeda Moleyar Narayana, MD

  • Family Medicine Physician
  • Scotts Valley, CA
National Provider Identifier
1366973604
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A170454 Issued in CA
Practice address
245 Mount Hermon Rd Ste L
Scotts Valley, CA 95066-4044
Phone
(831) 430-7203
Fax
(831) 430-7204
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A170454 CA Primary

Addresses

Primary practice location

245 Mount Hermon Rd Ste L
Scotts Valley, CA 95066-4044

Mailing address

3400 Data Dr
Rancho Cordova, CA 95670-7956

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
I20201105002592 CA Practitioner - Family Practice 5193098002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dignity Health Medical Foundation 1,211 clinicians

Practice addresses (Care Compare)

223 Mount Hermon Rd
Suite a
Santa Cruz, CA 95066-4087
Phone (831) 430-7203

Hospital & facility affiliations

  • Mission Home Health of Monterey Home health agency, Monterey, CA, CCN 059726
  • Choice Home Health Care Home health agency, Monterey, CA, CCN 557461
  • Sutter Care at Home Home health agency, Santa Cruz, CA, CCN 057007
  • Premier Home Health Providers Inc. Home health agency, San Jose, CA, CCN 059180
  • Strive Home Health, LLC Home health agency, Livermore, CA, CCN 757050
  • Hospice of Santa Cruz County Hospice, Scotts Valley, CA, CCN 051526
  • Dominican Hospital Hospital, Santa Cruz, CA, CCN 050242

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A170454CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Medical Foundation Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Oct 12, 2020 Accepting new patients
Dignity Health Medical Foundation CurrentSince Oct 12, 2020 Accepting new patients
Dignity Health Past Accepting new patients
Dignity Health Medical Foundation Past Accepting new patients

Locations

3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726

1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111

245 Mount Hermon Rd
Ste L
Scotts Valley, CA 95066
Phone (831) 430-7203

223 Mount Hermon Rd
Ste A
Scotts Valley, CA 95066
Phone (831) 426-7585

Organizations & group practices 5

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 7

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1366973604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 MOUNT HERMON RD STE L",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950664044",
            "telephone_number": "831-430-7203",
            "fax_number": "831-430-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLEYAR NARAYANA",
        "first_name": "PRASEEDA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A170454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotts Valley, CA

Sources for this page

Verify at the official NPI Registry.