Individual provider Active NPI

Jason Oliver, DO

  • Anesthesiology Physician
  • Santa Rosa, CA
National Provider Identifier
1700413671
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
20A22444 Issued in CA
Practice address
30 Mark West Springs Rd
Santa Rosa, CA 95403-1436
Phone
(707) 576-4000
NPI assigned
Mar 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X 20A22444 CA Primary

Addresses

Primary practice location

30 Mark West Springs Rd
Santa Rosa, CA 95403-1436

Mailing address

2455 Bennett Valley Rd Ste C219
Santa Rosa, CA 95404-5651
Phone (707) 522-1800

Other practice location 1

1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 543-2474

Other practice location 2

2455 Bennett Valley Rd Ste C219
Santa Rosa, CA 95404-5651
Phone (707) 522-1800

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
I20240919000943 CA Practitioner - Anesthesiology 2163877051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia and Analgesia Medical Group IncGroup PAC ID 1153316112, 73 clinicians

Practice addresses (Care Compare)

1165 Montgomery Dr
Santa Rosa, CA 95405-4801
Phone (707) 546-3210

Hospital & facility affiliations

  • Sutter Santa Rosa Regional Hospital Hospital, Santa Rosa, CA, CCN 050291
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A22444CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma Critical Care Associates Inc CurrentSince Dec 15, 2024 Accepting new patients
Anesthesia & Analgesia Medical Group, Inc. Anesthesiology CurrentSince Aug 1, 2024 Accepting new patients

Locations

1000 Trancas St
Napa, CA 94558
Phone (707) 226-2901

34 Mark West Springs Rd
Ste 100
Santa Rosa, CA 95403
Phone (707) 541-3500

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

2455 Bennett Valley Rd
Ste C219
Santa Rosa, CA 95404
Phone (707) 522-1800

Interoperability endpoints

  • Direct secure messaging: joliver688631@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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 2

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": "1584921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1700413671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 BENNETT VALLEY RD STE C219",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954045651",
            "telephone_number": "707-522-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MARK WEST SPRINGS RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031436",
            "telephone_number": "707-576-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1959 NE Pacific St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981950001",
            "country_code": "US",
            "telephone_number": "206-543-2474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2455 Bennett Valley Rd Ste C219",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa",
            "state": "CA",
            "postal_code": "954045651",
            "country_code": "US",
            "telephone_number": "707-522-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "JASON",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-23",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "20A22444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.