NPIMap

Individual provider Active NPI

Snehal Raisoni, MD

  • Internal Medicine Physician
  • Covelo, CA
National Provider Identifier
1487973798
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
63206-20 Issued in WI
Practice address
Hiwghway 162 and Biggar Lane
Covelo, CA 95428-0247
Phone
(707) 983-6181
Fax
(707) 983-6802
NPI assigned
May 26, 2010
Sex
Female
Sole proprietor
Yes

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 63206-20 WI Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

Hiwghway 162 and Biggar Lane
Covelo, CA 95428-0247

Mailing address

PO Box 0247
Highway 162 and Biggar Lane
Covelo, CA 95428-0247
Phone (707) 983-6181

Other identifiers 3

IdentifierTypeStateIssuer
1487973798OtherNPI
1669532750OtherCANPI
1114136066OtherCANPI

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
I20160519001836 CA Practitioner - General Practice 8820387533 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Humboldt Community Healthcare DistrictGroup PAC ID 8820982879, 21 clinicians

Practice addresses (Care Compare)

509 Elm St
Garberville, CA 95542-3204
Phone (707) 923-3921

Hospital & facility affiliations

  • Jerold Phelps Community Hospital Hospital, Garberville, CA, CCN 051309
  • Providence St Joseph Hospital Hospital, Eureka, CA, CCN 050006
  • Mad River Community Hospital Hospital, Arcata, CA, CCN 050028
  • Adventist Health Howard Memorial Hospital, Willits, CA, CCN 051310
  • Jerold Phelps Community Hospital Nursing home, CCN 05Z309

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63206-20WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Humboldt Community Healthcare District CurrentSince Jan 1, 2025 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Jan 1, 2025 Accepting new patients
Round Valley Indian Health Center, Inc. CurrentSince Nov 1, 2016 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Oct 1, 2025 Accepting new patients
Round Valley Indian Health Center Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients

Locations

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

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 7

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1487973798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 0247",
            "address_2": "HIGHWAY 162 AND BIGGAR LANE",
            "city": "COVELO",
            "state": "CA",
            "postal_code": "954280247",
            "telephone_number": "707-983-6181",
            "fax_number": "707-983-6802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIWGHWAY 162 AND BIGGAR LANE",
            "city": "COVELO",
            "state": "CA",
            "postal_code": "954280247",
            "telephone_number": "707-983-6181",
            "fax_number": "707-983-6802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAISONI",
        "first_name": "SNEHAL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "63206-20",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1487973798",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1669532750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1114136066",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covelo, CA

Sources for this page

Verify at the official NPI Registry.