Active NPI
Diana Sepehri-Harvey, D.O.
- Family Medicine Physician
- Gold River, CA
National Provider Identifier
1457678880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A11956
- Practice address
- 2377 Gold Meadow Way
Gold River, CA 95670-4405 - Phone
- (916) 999-5875
- NPI assigned
- Apr 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 3264 | TN | |
| Family Medicine Physician | 207Q00000X | 0102204379 | VA | |
| Family Medicine Physician | 207Q00000X | 20A11956 | CA | Primary |
Addresses
Primary practice location
2377 Gold Meadow Way
Gold River, CA 95670-4405
Mailing address
2377 Gold Meadow Way
Gold River, CA 95670-4405
Phone (916) 999-5875
Other practice location 1
333 1st Street
San Francisco, CA 94105
Phone (888) 803-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Nov 15, 2025 through Nov 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11956 | CA | MD | Family Medicine Physician |
| 0102204379 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osteopathic Integrative Medical Center PMC | Current | Accepting new patients | |
| Hill Physicians Medical Group - PPO Program | Past | Accepting new patients | |
| California Pacific Medical Group, Inc. | Past | Accepting new patients |
Locations
2377 Gold Meadow Way
Ste 288
Gold River, CA 95670
Phone (916) 606-6138
2377 Gold Meadow Way
Gold River, CA 95670
Phone (916) 747-3917
Organizations & group practices 3
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.
-
- Clinic/Center
- Gold River, CA
- NPI 1558175059
-
dba Brown & Toland Medical Group
- Multi-Specialty Clinic/Center
- Oakland, CA
- NPI 1275002453
-
- Preferred Provider Organization
- San Ramon, CA
- NPI 1679011035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272153600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1457678880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2377 GOLD MEADOW WAY",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704405",
"telephone_number": "916-999-5875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2377 GOLD MEADOW WAY",
"city": "GOLD RIVER",
"state": "CA",
"postal_code": "956704405",
"telephone_number": "916-999-5875"
}
],
"practiceLocations": [
{
"address_1": "333 1st Street",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94105",
"country_code": "US",
"telephone_number": "888-803-3370",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SEPEHRI-HARVEY",
"first_name": "DIANA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-25",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "3264",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0102204379",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A11956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gold River, CA
- James R Sabato, D.C.
- Eric Edwin Samuelson, FNP-C
- Matthew Allen Sanders, DDS
- Pornphitcha Sawangwan
- Scott Pyo, DDS Inc (Gold River Pediatric Dentistry)
- Elizabeth Ann Shaw, M.F,T,
- Larry D Sherwood, LMFT
- Sol Psychological Associates - a Psychological Corporation
- Sol Psychological Associates - a Psychological Corporation
- Sprout Organization
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.