NPIMap

Individual provider Active NPI

Rajina R Ranadive, MD

  • Internal Medicine Physician
  • Petaluma, CA
National Provider Identifier
1447200480
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A84631 Issued in CA
Practice address
905 E Washington St
Petaluma, CA 94952-3389
Phone
(707) 763-9891
Fax
(707) 762-2311
NPI assigned
May 11, 2006
Last updated
Jul 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A84631 CA Primary

Addresses

Primary practice location

905 E Washington St
Petaluma, CA 94952-3389

Mailing address

905 E Washington St
Petaluma, CA 94952-3389
Phone (707) 763-9891

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rranadive1658191@oc.providencedirect.org

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
I20040131000199 CA Practitioner - Internal Medicine 5698678019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical FoundationGroup PAC ID 8921993205, 1,461 clinicians

Practice addresses (Care Compare)

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

400 N McDowell Blvd
Petaluma, CA 94954-2339
Phone (707) 778-2631

500 Doyle Park Dr
Santa Rosa, CA 95405-4559

905 E Washington St
Petaluma, CA 94952-3389
Phone (707) 763-9891

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
84631CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Sep 5, 2011 Accepting new patients
Providence Medical Foundation CurrentSince Sep 5, 2011 Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients

Locations

200 W Ctr St Promenade
Ste 300
Anaheim, CA 92805
Phone (714) 449-4841

141 Lynch Creek Way
Ste C
Petaluma, CA 94954
Phone (707) 763-0802

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

905 E Washington St
Petaluma, CA 94952
Phone (707) 763-9891

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

Interoperability endpoints

  • Direct secure messaging: rranadive1658191@oc.providencedirect.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Vineyard Post AcutePetaluma, CA, CCN 555120 Skilled nursing facility Contracted Managing Employee Jan 1, 2018
Petaluma Post-Acute RehabPetaluma, CA, CCN 056072 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2018
Nov 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Aptb, LLC

    dba Petaluma Post-Acute Rehabilitation

    • Skilled Nursing Facility
    • Petaluma, CA
    • NPI 1205316833

    Adp of the SNF, Operational/Managerial Control

    CMS ownership
  • Petalumaidence Opco, LLC

    dba Vineyard Post Acute

    • Skilled Nursing Facility
    • Petaluma, CA
    • NPI 1356883805

    Contracted Managing Employee

    CMS ownership

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1447200480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 E WASHINGTON ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523389",
            "telephone_number": "707-763-9891",
            "fax_number": "707-762-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 E WASHINGTON ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949523389",
            "telephone_number": "707-763-9891",
            "fax_number": "707-762-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANADIVE",
        "first_name": "RAJINA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A84631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rranadive1658191@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "905 E Washington St",
            "city": "Petaluma",
            "state": "CA",
            "country_code": "US",
            "postal_code": "949523389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

Verify at the official NPI Registry.