Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mohammad Roostan

Individual provider Internal Medicine Physician · NPI 1417480534

Mohammad Roostan is a Hospitalist in Santa Rosa, California. Graduated from New York Medical College in 2017, 9 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in California and Oregon.

Years since qualifying
9
Trained at
New York Medical College
Licensed in
CA, OR
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

401 Bicentennial Way
Santa Rosa, CA 95403-2149
Phone: (707) 393-4000
Fax: (503) 681-1939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence MD211827 (OR)
Internal Medicine Physician Taxonomy 207R00000X · Licence A159854 (CA)
Hospitalist Physician Taxonomy 208M00000X · Licence A159854 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417480534
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 5, 2017
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHOSPITALIST
Medical schoolNEW YORK MEDICAL COLLEGE
Graduated 2017 (9 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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