Individual provider Active NPI

Raghunandana J Kasetty, MD

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1669481198
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
C175630 Issued in CA
Practice address
3490 California St Ste 203
San Francisco, CA 94118-1892
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301063254 MI
Pediatrics Physician 208000000X C175630 CA Primary

Addresses

Primary practice location

3490 California St Ste 203
San Francisco, CA 94118-1892

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

5720 Stoneridge Mall Rd Ste 310
Pleasanton, CA 94588-2855
Phone (925) 255-1430

Other practice location 2

3409 Ludington St
Suite 103
Escanaba, MI 49829-4212
Phone (906) 786-5707 ext. 6525

Other identifiers 2

IdentifierTypeStateIssuer
3367378MedicaidMI
RK063254OtherMIBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120121000068 MI Practitioner - Pediatric MedicinePractitioner - Other (Physician) 7315114949 Reassigns benefits to 1 organization
I20220713003791 CA Practitioner - Pediatric Medicine 7315114949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
One Medical Group IncGroup PAC ID 2567623739, 330 clinicians

Practice addresses (Care Compare)

3490 California St
Suite 203
San Francisco, CA 94118-1892
Phone (415) 593-1134

5720 Stoneridge Mall Rd
Suite 310
Pleasanton, CA 94588-2855
Phone (925) 255-1430

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C175630CAMDPediatrics Physician
4301063254MIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Francis Hospital Current Accepting new patients
One Medical Group, Inc Pediatrics CurrentSince Jul 11, 2022 Accepting new patients
St Francis Hospital CurrentSince Sep 13, 2011 Accepting new patients
St. Francis Hospital Pediatrics CurrentSince Sep 13, 2011 Accepting new patients
One Medical Group, Inc. Pediatrics CurrentSince Jul 11, 2022 Accepting new patients

Locations

1955 Broadway
Ste A
Oakland, CA 94612

110 Sutter St
Fl 6
San Francisco, CA 94104
Phone (415) 392-8200

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

3490 California St
Ste 203
San Francisco, CA 94118
Phone (415) 440-3291

559 Clay St
#200
San Francisco, CA 94111
Phone (415) 830-4744

2950 S Delaware St
Ste 150
San Mateo, CA 94403

1004 Northgate Dr
San Rafael, CA 94903
Phone (415) 590-6150

1299 Oakmead Pkwy
Sunnyvale, CA 94085
Phone (408) 266-3100

126 S 25th St
#B
Escanaba, MI 49829
Phone (906) 233-9500

3409 Ludington St
Ste 103
Escanaba, MI 49829
Phone (906) 789-4040

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1669481198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3490 CALIFORNIA ST STE 203",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181892",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5720 Stoneridge Mall Rd Ste 310",
            "address_purpose": "LOCATION",
            "city": "Pleasanton",
            "state": "CA",
            "postal_code": "945882855",
            "country_code": "US",
            "telephone_number": "925-255-1430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3409 Ludington St",
            "address_2": "SUITE 103",
            "address_purpose": "LOCATION",
            "city": "Escanaba",
            "state": "MI",
            "postal_code": "498294212",
            "country_code": "US",
            "telephone_number": "906-786-5707 x6525",
            "fax_number": "906-789-4044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KASETTY",
        "first_name": "RAGHUNANDANA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301063254",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "C175630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3367378",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "RK063254",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.