Active NPI
Rana Moosavi, M.D.
- Neurocritical Care Physician
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurocritical Care Physician
- License
- 148624
- Practice address
- 1100 Van Ness Ave FL 6
San Francisco, CA 94109-6978 - Phone
- (415) 600-7820
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Epilepsy Physician | 2084E0001X | 2175 | CA | |
| Neurocritical Care Physician | 2084A2900X | 148624 | CA | Primary |
Addresses
Primary practice location
1100 Van Ness Ave FL 6
San Francisco, CA 94109-6978
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (415) 600-5760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A148624 | Other | CA | STATE MEDICAL LICENSE |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220819001900 | CA | Practitioner - Neurology | 4789909334 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sutter Bay Medical Foundation
Practice addresses (Care Compare)
1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-6000
1501 Trousdale Dr
Burlingame, CA 94010-4506
Phone (650) 696-5400
30 Mark W Springs Rd
Santa Rosa, CA 95403-1436
Phone (707) 576-4500
34 Mark W Springs Rd
Santa Rosa, CA 95403-1436
3838 California St
San Francisco, CA 94118-1506
3883 Airway Dr
Santa Rosa, CA 95403-1671
601 Duboce Ave
San Francisco, CA 94117-3389
Hospital & facility affiliations
- California Pacific Medical Ctr-Davies Campus Hosp
- California Pacific Medical Center- Van Ness Campus
- Peninsula Medical Center
- California Pacific Medical Center - Mission Bernal
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 148624 | CA | MD | Neurocritical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Memorail Hospital of Los Banos | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Family Medicine | Past | Accepting new patients |
| Banner Pharmacy Services LLC | Past | Accepting new patients | |
| University Physicians Healthcare | Past | Accepting new patients | |
| Sutter Tracy Community Hospital | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
#1112
Palo Alto, CA 94301
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
1100 Van Ness Ave
Fl 6
San Francisco, CA 94109
Phone (415) 600-3458
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
Interoperability endpoints
- rmoosavi628829@hisp.ehr.sutterhealth.org
Organizations & group practices 26
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.
-
- Ambulatory Surgical Clinic/Center
- San Jose, CA
- NPI 1033817168
-
- Ambulatory Surgical Clinic/Center
- Palo Alto, CA
- NPI 1104067115
-
- Durable Medical Equipment & Medical Supplies
- Sunnyvale, CA
- NPI 1134904899
-
- Durable Medical Equipment & Medical Supplies
- Mountain View, CA
- NPI 1144911140
-
- Durable Medical Equipment & Medical Supplies
- Santa Cruz, CA
- NPI 1154050029
-
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1295459246
-
- Durable Medical Equipment & Medical Supplies
- Sunnyvale, CA
- NPI 1356070221
-
- Ambulatory Surgical Clinic/Center
- Fremont, CA
- NPI 1497996524
-
- Durable Medical Equipment & Medical Supplies
- Los Gatos, CA
- NPI 1518696459
-
- Durable Medical Equipment & Medical Supplies
- Fremont, CA
- NPI 1558090407
-
- Ambulatory Surgical Clinic/Center
- Los Altos, CA
- NPI 1568851327
Hospital & facility affiliations 5
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": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681776000000",
"number": "1871908301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "415-600-5760",
"fax_number": "415-369-1208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 VAN NESS AVE FL 6",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941096978",
"telephone_number": "415-600-7820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOOSAVI",
"first_name": "RANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2023-04-18",
"certification_date": "2023-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "2084E0001X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Epilepsy",
"state": "CA",
"license": "2175",
"primary": false
},
{
"code": "2084A2900X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurocritical Care",
"state": "CA",
"license": "148624",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "A148624",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.