Individual provider Active NPI

Nina Ni, MD

  • Ophthalmology Physician
  • Santa Rosa, CA
National Provider Identifier
1780959734
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
137049 Issued in CA
Practice address
3035 Cleveland Ave Ste 100
Santa Rosa, CA 95403-3037
Phone
(707) 546-9800
NPI assigned
Mar 9, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 137049 CA Primary

Addresses

Primary practice location

3035 Cleveland Ave Ste 100
Santa Rosa, CA 95403-3037

Mailing address

3035 Cleveland Ave Ste 100
Santa Rosa, CA 95403-3037
Phone (707) 546-9800

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
I20150713003206 CA Practitioner - Ophthalmology 9830321819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Yale University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Care Institute a Medical CorporationGroup PAC ID 7315010766, 8 clinicians

Practice addresses (Care Compare)

3035 Cleveland Ave
Suite 100
Santa Rosa, CA 95403-3037
Phone (707) 546-9800

Hospital & facility affiliations

  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

Merit-based Incentive Payment System (MIPS)

Final score
92.15 of 100Reported as group
Quality
95.66
Improvement activities
40
Cost
75.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery419

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
137049CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group CurrentSince Jul 1, 2015 Accepting new patients
4TH Street Laser & Surgery Center Inc Current Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group Ophthalmology CurrentSince Jul 1, 2015 Accepting new patients
Eye Care Institute, a Medical Corporation Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
Eye Care Institute, a Medical Corporation Ophthalmology CurrentSince Aug 1, 2016 Accepting new patients
SRM Alliance Hospital Services Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
University of California San Francisco Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

1017 2nd St
Santa Rosa, CA 95404
Phone (707) 546-9800

3035 Cleveland Ave
Ste 100
Santa Rosa, CA 95403
Phone (707) 545-3800

Interoperability endpoints

  • Direct secure messaging: nni338007@hisp.ehr.sutterhealth.org

Organizations & group practices 10

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 1

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": "1331251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1780959734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 CLEVELAND AVE STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033037",
            "telephone_number": "707-546-9800",
            "fax_number": "707-899-7980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 CLEVELAND AVE STE 100",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033037",
            "telephone_number": "707-546-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NI",
        "first_name": "NINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-09",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "137049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.