Active NPI
Rian Aaron Holayter, M.D.
- Vascular & Interventional Radiology Physician
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- C181304
- Practice address
- 105 N Bascom Ave Ste 104
San Jose, CA 95128-1811 - Phone
- (408) 918-0405
- Fax
- (408) 918-0409
- NPI assigned
- Jul 10, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 7751 | AK | |
| Diagnostic Radiology Physician | 2085R0202X | MD455415 | PA | |
| Diagnostic Radiology Physician | 2085R0202X | TP784 | KY | |
| Vascular & Interventional Radiology Physician | 2085R0204X | C181304 | CA | Primary |
| General Acute Care Hospital | 282N00000X | MT193667 | PA |
Addresses
Primary practice location
105 N Bascom Ave Ste 104
San Jose, CA 95128-1811
Mailing address
PO Box 909
Louisville, KY 40201-0909
Other practice location 1
530 S Jackson St
Louisville, KY 40202-1675
Phone (502) 852-5875
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158522 | Medicaid | AK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Temple University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2105 Forest Ave
San Jose, CA 95128-1425
Phone (408) 885-5000
225 N Jackson Ave
San Jose, CA 95116-1603
Phone (888) 334-1000
751 S Bascom Ave
San Jose, CA 95128-2604
Hospital & facility affiliations
- Santa Clara Valley Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.84 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 59.45
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7751 | AK | MD | Diagnostic Radiology Physician |
| C181304 | CA | MD | Vascular & Interventional Radiology Physician |
| MT193667 | PA | MD | General Acute Care Hospital |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Current | Accepting new patients | |
| Progressive Physician Assoc, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Minimally Invasive Surgical Solutions Medical Corporation | Vascular & Interventional Radiology | Current | Accepting new patients |
| St. Luke'S Physician Group, Inc. | Vascular & Interventional Radiology | Current | Accepting new patients |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| County of Santa Clara | Current | Accepting new patients | |
| St. Luke'S Physician Group, Inc. | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Past | Accepting new patients |
Locations
7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400
2510 Airpark Dr
Ste 301
Redding, CA 96001
Phone (530) 242-3500
1380 Lead Hill Blvd
Ste 100
Roseville, CA 95661
Phone (916) 535-2030
1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320
751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110
2030 Forest Ave
Ste 200
San Jose, CA 95128
Phone (408) 918-0405
105 N Bascom Ave
Ste 104
San Jose, CA 95128
Phone (408) 918-0400
500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433
750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320
1595 Soquel Dr
Ste 400
Santa Cruz, CA 95065
Phone (831) 475-1111
660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366
95 Highland Ave
Ste 130
Bethlehem, PA 18017
Phone 61086811002
801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200
Interoperability endpoints
- rholayter189980@santaclaravalley.direct-ci.net
Organizations & group practices 13
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- San Jose, CA
- NPI 1699885079
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Vascular & Interventional Radiology Physician
- San Jose, CA
- NPI 1821167628
-
- Family Medicine Physician
- Bethlehem, PA
- NPI 1700984622
-
- Diagnostic Radiology Physician
- Bethlehem, PA
- NPI 1881646859
-
- Anesthesiology Physician
- San Jose, CA
- NPI 1588721500
-
- Pharmacy
- San Jose, CA
- NPI 1891871919
-
- Multi-Specialty Clinic/Center
- Grass Valley, CA
- NPI 1043456106
-
- Multi-Specialty Clinic/Center
- Santa Cruz, CA
- NPI 1598961245
-
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
-
- Diagnostic Radiology Physician
- Quakertown, PA
- NPI 1134395965
-
- Vascular Surgery Physician
- Bethlehem, PA
- NPI 1346492220
Vascular & Interventional Radiology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1407019334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 N BASCOM AVE STE 104",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281811",
"telephone_number": "408-918-0405",
"fax_number": "408-918-0409"
}
],
"practiceLocations": [
{
"address_1": "530 S Jackson St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021675",
"country_code": "US",
"telephone_number": "502-852-5875",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLAYTER",
"first_name": "RIAN",
"middle_name": "AARON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-10",
"last_updated": "2024-01-25",
"certification_date": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AK",
"license": "7751",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD455415",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "TP784",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "C181304",
"primary": true
},
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": "PA",
"license": "MT193667",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "158522",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; 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.