NPIMap

Individual provider Active NPI

Sanjay K Menon, MD

  • Nephrology Physician
  • Santa Rosa, CA
National Provider Identifier
1407315633
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A198042 Issued in CA
Practice address
2301 Circadian Way Ste a
Santa Rosa, CA 95407-5457
Phone
(707) 526-2027
Fax
(707) 526-2096
NPI assigned
Mar 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X A198042 CA Primary

Addresses

Primary practice location

2301 Circadian Way Ste a
Santa Rosa, CA 95407-5457

Mailing address

2301 Circadian Way Ste a
Santa Rosa, CA 95407-5457
Phone (707) 526-2027

Other practice location 1

506 6th St
Brooklyn, NY 11215
Phone (718) 780-5130

Other practice location 2

506 6th St
Brooklyn, NY 11215
Phone (702) 290-2570

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
I20241202003774 CA Practitioner - NephrologyPractitioner - Internal Medicine 9133654940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology AssociatesGroup PAC ID 0547227621, 7 clinicians

Practice addresses (Care Compare)

2301 Circadian Wy
Suite a
Santa Rosa, CA 95407
Phone (707) 526-2027

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A198042CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Associates Nephrology CurrentSince Oct 1, 2024 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations

2301 Circadian Way
Ste A
Santa Rosa, CA 95407
Phone (707) 526-2027

Interoperability endpoints

  • Direct secure messaging: smenon693809@hisp.ehr.sutterhealth.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/BGAJAA

Organizations & group practices 2

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": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1407315633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 CIRCADIAN WAY STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075457",
            "telephone_number": "707-526-2027",
            "fax_number": "707-526-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 CIRCADIAN WAY STE A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954075457",
            "telephone_number": "707-526-2027",
            "fax_number": "707-526-2096"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11215",
            "country_code": "US",
            "telephone_number": "718-780-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "506 6th St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11215",
            "country_code": "US",
            "telephone_number": "702-290-2570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENON",
        "first_name": "SANJAY",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A198042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.