Individual provider Active NPI

Cassandra Nicole Garcia, M.D.

  • Family Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1467464271
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A80685 Issued in CA
Practice address
131 Stony Cir Ste 1600
Santa Rosa, CA 95401-9520
Phone
(707) 541-7700
Fax
(707) 573-5415
NPI assigned
Aug 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A80685 CA Primary

Addresses

Primary practice location

131 Stony Cir Ste 1600
Santa Rosa, CA 95401-9520

Mailing address

2350 W El Camino Real FL 2
Mountain View, CA 94040-6203
Phone (077) 541-7700

Other identifiers 1

IdentifierTypeStateIssuer
A80685OtherCASTATE MEDICAL 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
I20031203000099 CA Practitioner - Family Practice 1052215936 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Vermont College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

131 Stony Cir
Suite 1600
Santa Rosa, CA 95401-9520
Phone (707) 541-7800

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Santa Rosa, CA, CCN 058189
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174
  • Sutter Santa Rosa Regional Hospital Hospital, Santa Rosa, CA, CCN 050291
  • California Pacific Medical Ctr-Davies Campus Hosp Hospital, San Francisco, CA, CCN 050008
  • Petaluma Valley Hospital Hospital, Petaluma, CA, CCN 050136

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Aug 1, 2017 Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
Sutter East Bay Medical Foundation Family Medicine Past Accepting new patients
Northwest Iowa Hospital Corporation Past Accepting new patients
North Coast Faculty Medical Group Inc Past Accepting new patients

Locations

6 Tarman Dr
Cloverdale, CA 95425
Phone (707) 894-4229

2350 W El Camino Real
Fl 2
Mountain View, CA 94040
Phone (650) 691-6174

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

4700 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 526-3360

500 Doyle Park Dr
Ste 200
Santa Rosa, CA 95405
Phone (707) 303-1719

131 Stony Cir
Ste 1600
Santa Rosa, CA 95401
Phone (707) 541-7700

8465 Old Redwood Hwy
Ste 320
Windsor, CA 95492
Phone (707) 433-5494

Interoperability endpoints

  • Direct secure messaging: cgarcia29027@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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1467464271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL FL 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406203",
            "telephone_number": "077-541-7700",
            "fax_number": "707-573-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 STONY CIR STE 1600",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954019520",
            "telephone_number": "707-541-7700",
            "fax_number": "707-573-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "CASSANDRA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A80685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A80685",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.