Individual provider Active NPI

Rafael Jose Sepulveda-Acosta, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Sonoma, CA
National Provider Identifier
1558611459
Registry record updated Nov 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
A150301 Issued in CA
Practice address
369 Perkins St
Sonoma, CA 95476-6826
Phone
(707) 776-6154
NPI assigned
Sep 18, 2012
Last updated
Nov 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A150301 CA
Obesity Medicine (Internal Medicine) Physician 207RB0002X A150301 CA
Sleep Medicine (Internal Medicine) Physician 207RS0012X A150301 CA Primary

Addresses

Primary practice location

369 Perkins St
Sonoma, CA 95476-6826

Mailing address

369 Perkins St
Sonoma, CA 95476-6826
Phone (707) 776-6154

Other practice location 1

369 Perkins St
Sonoma, CA 95476-6826
Phone (707) 776-6154

Other names 1

  • Dr. Rafael Jose Sepulveda Other name

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
I20170914000982 CA Practitioner - Sleep MedicinePractitioner - Internal Medicine 0941574941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sleep MedicineAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sleep Fit MedicalGroup PAC ID 7517368947, 2 clinicians

Practice addresses (Care Compare)

369 Perkins St
Sonoma, CA 95476-6826
Phone (707) 776-6154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A150301CAMDObesity Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sleep Fit Medical Internal Medicine CurrentSince May 11, 2020 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients
Marin General Hospital Past Accepting new patients
Sonoma Valley Health Care District Past Accepting new patients

Locations

369 Perkins St
Sonoma, CA 95476
Phone (707) 227-9010

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDBDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EHDBDD/Endpoint/EHDBDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669766400000",
    "number": "1558611459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "369 PERKINS ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766826",
            "telephone_number": "707-776-6154",
            "fax_number": "707-800-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 PERKINS ST",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766826",
            "telephone_number": "707-776-6154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369 Perkins St",
            "address_purpose": "LOCATION",
            "city": "Sonoma",
            "state": "CA",
            "postal_code": "954766826",
            "country_code": "US",
            "telephone_number": "707-776-6154",
            "fax_number": "707-800-0076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEPULVEDA-ACOSTA",
        "first_name": "RAFAEL",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-18",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A150301",
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CA",
            "license": "A150301",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A150301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAFAEL",
            "last_name": "SEPULVEDA",
            "middle_name": "JOSE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sonoma, CA

Sources for this page

Verify at the official NPI Registry.