Individual provider Active NPI

Joel S Erickson, M.D.

  • Cardiovascular Disease Physician
  • Santa Rosa, CA
National Provider Identifier
1407899479
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G54218 Issued in CA
Practice address
500 Doyle Park Dr
Suite 205
Santa Rosa, CA 95405-4558
Phone
(707) 527-8444
Fax
(707) 578-7863
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G54218 CA Primary

Addresses

Primary practice location

500 Doyle Park Dr
Suite 205
Santa Rosa, CA 95405-4558

Mailing address

500 Doyle Park Dr
Suite 205
Santa Rosa, CA 95405-4558
Phone (707) 527-8444

Other identifiers 1

IdentifierTypeStateIssuer
00G542180MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100929000342 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Peripheral Vascular DiseasePractitioner - Nuclear Medicine 0143346965 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine, Peripheral Vascular Disease
Education
University of California, San Diego School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aretaeus Telemedicine IncGroup PAC ID 6002953635, 17 clinicians

Practice addresses (Care Compare)

1 Madrone St
Willits, CA 95490-4225
Phone (707) 459-6801

165 Rowland Way
Suite 308
Novato, CA 94945-5059
Phone (415) 892-9550

830 2ND St
Santa Rosa, CA 95404-4620
Phone (707) 757-9371

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Merced, CA, CCN 050444

Merit-based Incentive Payment System (MIPS)

Final score
21.05 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
70.16

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54218CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Aretaeus Telemedicine Inc. CurrentSince Oct 1, 2024 Accepting new patients
Joel S. Erickson, M.D., Inc. Cardiovascular Disease CurrentSince Oct 14, 2012 Accepting new patients
Santa Rosa Cardiac Imaging Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

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

165 Rowland Way
Ste 212
Novato, CA 94945
Phone (415) 892-9550

165 Rowland Way
Ste 308
Novato, CA 94945
Phone (415) 209-6180

830 2nd St
#A
Santa Rosa, CA 95404
Phone (707) 380-1838

1 Madrone St
Willits, CA 95490
Phone (707) 456-3041

Organizations & group practices 4

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 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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407899479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 DOYLE PARK DR",
            "address_2": "SUITE 205",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054558",
            "telephone_number": "707-527-8444",
            "fax_number": "707-578-7863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 DOYLE PARK DR",
            "address_2": "SUITE 205",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954054558",
            "telephone_number": "707-527-8444",
            "fax_number": "707-578-7863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "JOEL",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G54218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G542180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.