SANTA ROSA VEIN ASSOCIATES, INC
NPI 1144764523
Internal Medicine - Cardiovascular Disease in Santa Rosa, CA

Active since December 05, 2016
990 SONOMA AVE STE 2, SANTA ROSA, CA 95404(707) 636-8346(707) 205-1008 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 18, 2023, Jan 31, 2020 (2 updates tracked since 2020).

About Santa Rosa Vein Associates, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANTA ROSA VEIN ASSOCIATES, INC (NPI 1144764523) is a healthcare organization registered as a cardiovascular disease in Santa Rosa, California and active in the NPI registry since December 2016. The organization lists Jose V Ballesteros, President, as its authorized official.

NPPES Registry Identity

NPI1144764523
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameSANTA ROSA VEIN ASSOCIATES, INC
Location Address990 SONOMA AVE STE 2Santa Rosa, CA 95404-4813
Mailing Address990 Sonoma Ave, Suite 2Santa Rosa, CA 95404-4813 · (707) 636-8346 · Fax (707) 205-1008
Fax(707) 205-1008
Organization SubpartNo
Authorized OfficialJose V BallesterosPresident · (707) 636-8346
Enumeration DateDecember 5, 2016
Last NPPES UpdateAugust 26, 20252 updates tracked since enumeration
NPPES CertifiedAugust 26, 2025
✔ NPI 1144764523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
990 SONOMA AVE STE 2, Santa Rosa, CA 95404

Other Identifiers 1

MedicaidGR0065700CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Santa Rosa Vein Associates, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Santa Rosa Vein Associates, Inc, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Interventional Cardiology
NPI 1770527269
990 SONOMA AVE STE 2
Santa Rosa, CA 95404
(707) 636-8346
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083945653
990 SONOMA AVE STE 2
Santa Rosa, CA 95404
(707) 636-8346
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Santa Rosa Vein Associates, Inc's NPI number?

The NPI number for Santa Rosa Vein Associates, Inc is 1144764523. It was assigned to this organization in the NPPES registry on December 5, 2016.

Where is Santa Rosa Vein Associates, Inc located?

Santa Rosa Vein Associates, Inc is located at 990 Sonoma Ave Ste 2, Santa Rosa, CA 95404. The listed phone number is (707) 636-8346.

What is Santa Rosa Vein Associates, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Santa Rosa Vein Associates, Inc enrolled in Medicare?

Yes. Santa Rosa Vein Associates, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Santa Rosa Vein Associates, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Santa Rosa Vein Associates, Inc, in Interventional Cardiology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Santa Rosa Vein Associates, Inc was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.