Individual provider Active NPI

Pira Rochanayon, M.D.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1811992530
Registry record updated Dec 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C42420 Issued in CA
Practice address
7311 Greenhaven Dr Ste 125
Sacramento, CA 95831-3595
Phone
(916) 399-1171
Fax
(916) 399-1082
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X C42420 CA
Family Medicine Physician 207Q00000X C42420 CA Primary

Addresses

Primary practice location

7311 Greenhaven Dr Ste 125
Sacramento, CA 95831-3595

Mailing address

7311 Greenhaven Dr Ste 125
Sacramento, CA 95831-3595
Phone (916) 399-1171

Other identifiers 1

IdentifierTypeStateIssuer
00C424200MedicaidCA

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
I20101019000719 CA Practitioner - General Practice 3971796244 Practice locations: Sacramento, CA

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7311 Greenhaven Dr
Suite 125
Sacramento, CA 95831-3595
Phone (916) 399-1171

Hospital & facility affiliations

  • Mercy Home Health Home health agency, Rancho Cordova, CA, CCN 057631
  • Healing Touch Home Health Care Inc Home health agency, Rancho Cordova, CA, CCN 553195

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C42420CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Physicians Care Solutions, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733097600000",
    "number": "1811992530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 GREENHAVEN DR STE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313595",
            "telephone_number": "916-399-1171",
            "fax_number": "916-399-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 GREENHAVEN DR STE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313595",
            "telephone_number": "916-399-1171",
            "fax_number": "916-399-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHANAYON",
        "first_name": "PIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "C42420",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C42420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C424200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.