Individual provider Active NPI

Santosh Samuel Oommen, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Monterey, CA
National Provider Identifier
1427104256
Registry record updated Jan 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
A143006 Issued in CA
Practice address
23845 Holman Hwy Ste 109
Monterey, CA 93940-5906
Phone
(831) 241-9200
NPI assigned
Jan 26, 2007
Last updated
Jan 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cardiac Electrophysiology Physician 207RC0001X A143006 CA Primary

Addresses

Primary practice location

23845 Holman Hwy Ste 109
Monterey, CA 93940-5906

Mailing address

100 Wilson Rd Ste 100
Monterey, CA 93940-7885
Phone (831) 242-8301

Other practice location 1

365 Hawthorne Ave Ste 201
Oakland, CA 94609-3114
Phone (510) 452-1345

Other identifiers 1

IdentifierTypeStateIssuer
MD2013-0313OtherNMNM MD LICENSE

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
I20161109002698 CA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 7911149117 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
University of Connecticut School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 624-5311

30 Garden CT
B
Monterey, CA 93940-5302
Phone (831) 647-1123

350 30TH St
Suite 100
Oakland, CA 94609-3422
Phone (510) 204-8290

350 John Muir Pkwy
Brentwood, CA 94513-5183

365 Hawthorne Ave
Oakland, CA 94609-3115

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A143006CAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Feb 20, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Jan 1, 2024 Accepting new patients
Montage Medical Group CurrentSince Feb 17, 2025 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Feb 20, 2025 Accepting new patients
Stanford Health Care Past Accepting new patients

Locations

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

23845 Holman Hwy
Ste 109
Monterey, CA 93940
Phone (415) 353-7449

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

30 Garden Ct
#B
Monterey, CA 93940
Phone (831) 647-1123

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

365 Hawthorne Ave
Ste 201
Oakland, CA 94609
Phone (510) 204-8383

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

Interoperability endpoints

  • Direct secure messaging: soommen354401@hisp.ehr.sutterhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1427104256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WILSON RD STE 100",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939407885",
            "telephone_number": "831-242-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23845 HOLMAN HWY STE 109",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405906",
            "telephone_number": "831-241-9200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "365 Hawthorne Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946093114",
            "country_code": "US",
            "telephone_number": "510-452-1345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OOMMEN",
        "first_name": "SANTOSH",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A143006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NM MD LICENSE",
            "identifier": "MD2013-0313",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.