Individual provider Active NPI

Adina Manuela Logan, M.D.

  • Internal Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1881667178
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C193919 Issued in CA
Practice address
4702 Hoen Ave
Santa Rosa, CA 95405-7824
Phone
(707) 308-2800
Fax
(707) 573-5406
NPI assigned
Feb 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C193919 CA Primary

Addresses

Primary practice location

4702 Hoen Ave
Santa Rosa, CA 95405-7824

Mailing address

PO Box 276950
Sacramento, CA 95827-6950
Phone (707) 308-2800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, VA, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20040730000100 TX Practitioner - Internal Medicine 4082684683 Reassigns benefits to 5 organizations
I20160204000675 FL Practitioner - HospitalistPractitioner - Internal Medicine 4082684683
I20170503002579 VA Practitioner - Internal Medicine 4082684683 Reassigns benefits to 1 organization
I20241206003587 CA Practitioner - Internal Medicine 4082684683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, 3,783 clinicians

Practice addresses (Care Compare)

4702 Hoen Ave
Santa Rosa, CA 95405-7824
Phone (707) 545-2255

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Santa Rosa, CA, CCN 058189
  • Sutter Santa Rosa Regional Hospital Hospital, Santa Rosa, CA, CCN 050291
  • Providence Santa Rosa Memorial Hospital Hospital, Santa Rosa, CA, CCN 050174

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C193919CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
24 Hour Physicians, Inc Hospitalist CurrentSince Sep 8, 2014 Accepting new patients
Mihaela Perijoc, MD, PA Internal Medicine CurrentSince Nov 25, 2024 Accepting new patients
Riverside Physician Services Inc CurrentSince Dec 20, 2016 Accepting new patients
Riverside Physician Services, Inc. Internal Medicine CurrentSince Dec 20, 2016 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Sep 27, 2024 Accepting new patients
Sutter Bay Medical Foundation Internal Medicine CurrentSince Sep 27, 2024 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Jun 15, 2015 Accepting new patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Feb 1, 2011 Accepting new patients
Riverside Physician Services Inc Current Accepting new patients
Tenet Healthsystem Hospitals Dallas, Inc. Past Accepting new patients
Sutter East Bay Medical Foundation Internal Medicine Past Accepting new patients
Lee Memorial Health System Past Accepting new patients
Lee Memorial Health System Past Accepting new patients
Cape Memorial Hospital Inc Past Accepting new patients
Columbia Medical Center of Las Colinas Inc Past Accepting new patients
Lee Memorial Health System Past Accepting new patients

Locations (25 of 36)

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

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
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

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

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

4702 Hoen Ave
Santa Rosa, CA 95405
Phone (707) 545-2255

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

550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

9603 White Rock Trl
#200
Dallas, TX 75238

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19432/brand/1/csg/1/fhir/r4
  • Direct secure messaging: alogan689758@hisp.ehr.sutterhealth.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1881667178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276950",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276950",
            "telephone_number": "707-308-2800",
            "fax_number": "707-573-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 HOEN AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057824",
            "telephone_number": "707-308-2800",
            "fax_number": "707-573-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOGAN",
        "first_name": "ADINA",
        "middle_name": "MANUELA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-08",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C193919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.