Individual provider Active NPI

Rian Aaron Holayter, M.D.

  • Vascular & Interventional Radiology Physician
  • San Jose, CA
National Provider Identifier
1407019334
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
C181304 Issued in CA
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

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
158522MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20151005002987 PA Practitioner - Diagnostic RadiologyPractitioner - Vascular SurgeryPractitioner - Interventional Radiology 5294962841 Reassigns benefits to 2 organizations
I20221207002174 CA Practitioner - Diagnostic Radiology 5294962841 Reassigns benefits to 3 organizations

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
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

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 Hospital, San Jose, CA, CCN 050038

Merit-based Incentive Payment System (MIPS)

Final score
97.84 of 100Reported as group
Quality
100
Improvement activities
40
Cost
59.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7751AKMDDiagnostic Radiology Physician
C181304CAMDVascular & Interventional Radiology Physician
MT193667PAMDGeneral Acute Care Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Dec 1, 2025 Accepting new patients
Progressive Physician Assoc, Inc. Diagnostic Radiology CurrentSince Sep 14, 2015 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
Minimally Invasive Surgical Solutions Medical Corporation Vascular & Interventional Radiology CurrentSince Dec 1, 2022 Accepting new patients
St. Luke'S Physician Group, Inc. Vascular & Interventional Radiology CurrentSince Jan 1, 2016 Accepting new patients
Dignity Health Medical Foundation Current Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Dignity Health Medical Foundation CurrentSince Nov 8, 2025 Accepting new patients
Dignity Health Medical Foundation CurrentSince Nov 8, 2025 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

  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.