Individual provider Active NPI

Diana Sepehri-Harvey, D.O.

  • Family Medicine Physician
  • Gold River, CA
National Provider Identifier
1457678880
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A11956 Issued in CA
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

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
20A11956CAMDFamily Medicine Physician
0102204379VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osteopathic Integrative Medical Center PMC CurrentSince Feb 9, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.