DR. SANDEEP K THAKKAR (NPI# 1740454586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740454586 |
| Entity Type | Individual |
| Full Name | DR. SANDEEP K THAKKAR |
| Credential | D.O. |
| Practice Address |
510 Superior Ave Suite 200-a Newport Beach CA 92663-3663 |
| Mailing Address |
510 Superior Ave Suite 200a Newport Beach CA 92663-3663 |
| Practice Telephone | 9497647363 |
| Practice Fax Number | 9496504585 |
| Mailing Telephone | 9497647363 |
| Mailing Fax Number | 9496504585 |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2013-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
20A10840 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 20A108400 | 05 |
| Street Address |
510 SUPERIOR AVE SUITE 200-A |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92663-3663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801895180 | Lincoln Mackey Snyder | Surgery | 510 Superior Ave, Suite 200 G, Newport Beach, CA 92663-3663 | 2005-07-19 |
| 1851749048 | Danielle Grace Sorenson | Nurse Practitioner | 510 Superior Ave, Newport Beach, CA 92663-3663 | 2016-05-27 |
| 1487072989 | Emergency Surgical Associates, Apc | Surgery | 510 Superior Ave, Suite 200-g, Newport Beach, CA 92663-3663 | 2014-04-01 |
| 1356765465 | Joseph Michael Weiland | Family Medicine | 510 Superior Ave, Suite 200d, Newport Beach, CA 92663 | 2014-02-10 |
| 1578900809 | Sandeep K. Thakkar, D.o. | Psychiatry & Neurology | 510 Superior Ave, Ste. 200a, Newport Beach, CA 92663-3663 | 2013-05-28 |
| 1275876351 | Newport Superior Dialysis, LLC | Clinic/Center | 510 Superior Ave, Suite 150, Newport Beach, CA 92663-3663 | 2013-03-27 |
| 1528330834 | Newport-irvine Surgical Specialists, A Professional Corporation | Surgery | 510 Superior Ave, Suite 200g, Newport Beach, CA 92663-3663 | 2012-02-01 |
| 1679884910 | Aditi Bhargava Springstubb | Internal Medicine | 510 Superior Ave, Ste 200b, Newport Beach, CA 92663-3663 | 2010-07-01 |
| 1679899033 | Ani Bergman Baghdassarian | Internal Medicine | 510 Superior Ave, Ste 200b, Newport Beach, CA 92663-3663 | 2010-04-10 |
| 1225366099 | Jeffrey James Sasser-brandt | Family Medicine | 510 Superior Ave, Ste 200b, Newport Beach, CA 92663-3663 | 2009-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851905483 | Oasis Anesthesia, Surgical and Medical Group, Inc | Anesthesiology | 496 Old Newpor Blvd., Suite 2, Newport Beach, CA 92663 | 2020-09-01 |
| 1699232801 | Megan Gregor | Surgery | One Hoag Dr., Bldg 41, Ste 122, Newport Beach, CA 92663 | 2019-02-24 |
| 1831621382 | Narges Maududi | Social Worker | 1965 Sherrington Place, K111, Newport Beach, CA 92663 | 2017-04-03 |
| 1225495153 | Mitchelle Giorgi | Physical Therapist | 351 Hospital Road, Suite 007, Newport Beach, CA 92663 | 2016-01-22 |
| 1043620057 | Leslie Mccormack | Speech-Language Pathologist | 270 Cagney Lane #101, Newport Beach, CA 92663 | 2014-04-29 |
| 1265867162 | Hotel California By The Sea, LLC | Substance Abuse Rehabilitation Facility | 4504 Seashore Drive, Newport Beach, CA 92663 | 2013-09-10 |
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1326330119 | Denise Fortenberry Fortenberry-gratias | Nurse Practitioner | 520 Superior Ave, Suite 350, Newport Beach, CA 92663 | 2011-05-11 |
| 1043500390 | Romit Kumar Kar | Pediatrics | 355 Placentia Ave Ste 301, Newport Beach, CA 92663 | 2011-04-07 |
| 1477858546 | Newport Neurohospitalists | Neurological Surgery | 510 Superior Ave Ste 280, Newport Beach, CA 92663 | 2011-01-20 |
| Find all providers in zip 92663 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538504733 | Shawn Zardouz | Psychiatry & Neurology | 3900 W Coast Hwy Ste 390, Newport Beach, CA 92663 | 2013-05-02 |
| 1518053289 | Janet Mary Chance | Psychiatry & Neurology | 510 Superior Ave Ste 200a, Newport Beach, CA 92663-3663 | 2006-10-04 |
| 1467482216 | Daniel S. Bandari | Psychiatry & Neurology | 3900 W Coast Hwy, Suite 330, Newport Beach, CA 92663-4091 | 2006-07-04 |
| 1043258502 | Valerie Valentine Acevedo | Psychiatry & Neurology | 20072 Sw Birch St, Suite 170, Newport Beach, CA 92660-0794 | 2006-06-04 |
| 1265078786 | Shankle Clinic | Psychiatry & Neurology | 3900 W Coast Hwy Ste 310, Newport Beach, CA 92663-4093 | 2019-11-19 |
| 1972072999 | Saulena Shafer D.o., Inc. | Psychiatry & Neurology | 510 Superior Ave Ste 200a, Newport Beach, CA 92663-3664 | 2018-11-20 |
| 1669790309 | Newport Neurohospitalist Medical Group, Inc | Psychiatry & Neurology | 500 Superior Ave, Suite 305, Newport Beach, CA 92663-3657 | 2010-05-05 |
| 1972743821 | Daniel S. Bandari, M.d. Inc | Psychiatry & Neurology | 3900 W Coast Hwy, Suite 330, Newport Beach, CA 92663-4091 | 2009-03-04 |
| 1376742700 | Jose Puangco | Psychiatry & Neurology | 510 Superior Ave, Suite 200-a, Newport Beach, CA 92663-3663 | 2007-07-16 |
| 1801093554 | Andrew Duy Ly | Psychiatry & Neurology | 1 Hoag Dr, Neurosciences, Newport Beach, CA 92663-4162 | 2007-06-27 |
| Find all providers in NEWPORT BEACH | ||||
| City | NEWPORT BEACH |
| Zip Code | 92663 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.