Sanjay Prakash Muttreja, MD

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

C132005 Issued in CA

Practice address

10 Woodland Rd
Saint Helena, CA 94574-9554

Phone

(707) 963-6399

Fax

(707) 967-5915

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

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

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acute Care Associates of California PCGroup PAC ID 2668812215, 55 clinicians

Innovative Medical GroupGroup PAC ID 1759797251, 9 clinicians

Innovative Extensivist Group PCGroup PAC ID 4981106911, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Heartford Hospice Hospice, Irvine, CA, CCN A11656
• Vitas Healthcare Corporation of California Hospice, Riverside, CA, CCN 051590
• Mission Hospice Services of San Diego LLC Hospice, San Diego, CA, CCN 551652
• Nightingale'S Hospice Hospice, Murrieta, CA, CCN A01725
• Southwest Healthcare Rancho Springs Hospital Hospital, Murrieta, CA, CCN 050701
• Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204
• Corona Regional Medical Center Hospital, Corona, CA, CCN 050329
• The Springs Health and Rehabilitation Center Nursing home, Murrieta, CA, CCN 555915
• Corona Post Acute Center Nursing home, Corona, CA, CCN 555566
• Murrieta Health and Rehabilitation Center Nursing home, Murrieta, CA, CCN 555747

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Physician Assistant

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Heartford Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Irvine, CA
  • NPI 1407317399

  Contracted Managing Employee

  CMS ownership

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.

• Acute Care Associates of California PC

  • Internal Medicine Physician
  • Wildomar, CA
  • NPI 1194588392
  Medicare reassignment Care Compare group NPD
• Innovative Extensivist Group PC

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1770467888
  Medicare reassignment Care Compare group NPD
• Innovative Medical Group

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1003407735
  Medicare reassignment Care Compare group NPD
• County of San Mateo

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
  • NPI 1679642326
  Medicare reassignment NPD
• County of San Mateo

  • Multi-Specialty Clinic/Center
  • San Mateo, CA
  • NPI 1831268580
  Medicare reassignment NPD
• Galen Inpatient Physicians, PC

  • Hospitalist Physician
  • Manteca, CA
  • NPI 1689320459
  Medicare reassignment NPD
• Inpatient Physicians Network Inc

  • Internal Medicine Physician
  • Temecula, CA
  • NPI 1053461178
  Medicare reassignment NPD
• Merced Hospitalist Medical Group, Inc.

  • Internal Medicine Physician
  • Merced, CA
  • NPI 1730431875
  Medicare reassignment NPD
• Quantum Healthcare Medical Associates Inc.

  • Hospitalist Physician
  • Colton, CA
  • NPI 1568490597
  Medicare reassignment
• Orlando Hospitalists LLC

  • Specialist
  • Orlando, FL
  • NPI 1538112487

  Internal Medicine

  NPD (past) Authorized official
• County of San Mateo

  • Community/Behavioral Health Agency
  • Redwood City, CA
  • NPI 1528432481
  NPD
• Galen Inpatient Physicians Inc

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1730313933
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ag Murrieta SNF, LLC

  • Skilled Nursing Facility
  • Murrieta, CA
  • NPI 1174517650

  Nursing home

  Care Compare affiliation
• All Star Hospice, Inc.

  • Community Based Hospice Care Agency
  • Murrieta, CA
  • NPI 1316507031
  Care Compare affiliation
• Corona Post Acute LLC

  • Skilled Nursing Facility
  • Corona, CA
  • NPI 1427593938

  Nursing home

  Care Compare affiliation
• Heartford Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Irvine, CA
  • NPI 1407317399
  Care Compare affiliation
• Lancaster Hospital Corporation

  • General Acute Care Hospital
  • Palmdale, CA
  • NPI 1508856535
  Care Compare affiliation
• Mission Hospice Services of San Diego, LLC

  • Community Based Hospice Care Agency
  • San Diego, CA
  • NPI 1245521269
  Care Compare affiliation
• Temecula Valley Skilled Nursing and Rehabilitation Center, LP

  • Skilled Nursing Facility
  • Murrieta, CA
  • NPI 1952802225

  Nursing home

  Care Compare affiliation
• Uhs-Corona Inc

  • General Acute Care Hospital
  • Corona, CA
  • NPI 1457347239
  Care Compare affiliation
• Universal Health Services of Rancho Springs Inc

  • General Acute Care Hospital
  • Murrieta, CA
  • NPI 1245221050
  Care Compare affiliation
• Vitas Healthcare Corporation of California

  • Community Based Hospice Care Agency
  • Riverside, CA
  • NPI 1790828804
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1447201173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7096",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952670096",
            "telephone_number": "209-956-7725",
            "fax_number": "209-956-7733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 WOODLAND RD",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945749554",
            "telephone_number": "707-963-6399",
            "fax_number": "707-967-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTREJA",
        "first_name": "SANJAY",
        "middle_name": "PRAKASH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C132005",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME73769",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME73769",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "C132005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263823100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Mishkin, M.D.
• Keri Montgomery, NP
• Ryan E Moore, MD
• Lisa Morales, PA
• Kathy A. Mosher
• Napa Valley Concierge Medicine and Health Inc
• Napa Valley Internal Medicine
• Napa Valley Speech Therapy
• Napa Valley Speech Therapy, Inc.
• Celeste Neeley, CRNA

• Hospitalist Physician in Saint Helena, CA
• Providers in Saint Helena, CA by specialty
• Hospitalist Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.