SANDEEP RAJAN MEHTA (NPI# 1780939967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780939967 |
| Entity Type | Individual |
| Full Name | SANDEEP RAJAN MEHTA |
| Credential | M.D. |
| Practice Address |
9898 Genesee Ave La Jolla CA 92037 |
| Mailing Address |
2405 N Park Ave Indianapolis IN 46205-4563 |
| Practice Telephone | 8588245111 |
| Mailing Telephone | 8122190260 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 11016597 | IN | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
A142868 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2405 N Park Ave, Indianapolis, IN 462054563 | 8122190260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558300319 | Sandeep D. Mehta | Internal Medicine | 767 Park Ave W Ste 260, Highland Park, IL 60035-2471 | 2006-06-06 |
| 1124447271 | Sandeep Mehta | Urology | 9230 Katy Fwy Ste 510, Houston, TX 77055-7467 | 2014-04-15 |
| 1376962837 | Sandeep Mehta | Optometrist | 4885 Eldorado Pkwy, Frisco, TX 75033-8662 | 2014-04-14 |
| 1902021132 | Sandeep Maganlal Mehta | Pharmacist | 955 S Bailey Ave, South Haven, MI 49090-9701 | 2007-04-14 |
| Street Address |
9898 GENESEE AVE |
| City | LA JOLLA |
| State | CA |
| Zip Code | 92037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033116223 | William Gang Wang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2005-07-01 |
| 1639715725 | Elisabeth Sarah Lottman | Speech-Language Pathologist | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2019-11-23 |
| 1730740036 | Adriana Yvette Southworth | Registered Nurse | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2019-06-26 |
| 1205333010 | Chelsea Marie Rouleau | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2018-04-09 |
| 1477067981 | Eneh-lieh J Ancheta | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2017-11-20 |
| 1780102640 | Marissa Munsayac | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2017-08-31 |
| 1306374012 | Paige Read Squiller | Physician Assistant | 9898 Genesee Ave, Amp 410, La Jolla, CA 92130 | 2017-05-24 |
| 1972054534 | Scripps Health | Clinic/Center | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2016-10-19 |
| 1073061248 | Paddy Barrett | Internal Medicine | 9898 Genesee Ave, La Jolla, CA 92037-1205 | 2016-09-16 |
| 1225487069 | Jacinta Tran | Nurse Practitioner | 9898 Genesee Ave, La Jolla, CA 92037 | 2016-06-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982221768 | Equip Health Medical, PC | Clinic/Center | 2674 Costebelle Drive, Unit A, La Jolla, CA 92037 | 2020-06-29 |
| 1134745474 | Brenda Kay Wiederhold | Psychologist | Virtual Reality Medical Center, 9834 Genesee Avenue, Suite 427, La Jolla, CA 92037 | 2020-06-23 |
| 1316581598 | Kathleen M Blechertas | Physical Therapist | 9888 Genesee, Lj19, La Jolla, CA 92037 | 2019-10-31 |
| 1316592876 | Kevin Yanyan Li | Student in an Organized Health Care Education/Training Program | 9300 Campus Point Drive, Mc7400, La Jolla, CA 92037 | 2019-08-01 |
| 1407400542 | Juan J Salmeron | Dentist | Callejin Internacional 351 L2, Los Algodones, BAJA CALIFORNIA 92037 | 2019-07-26 |
| 1609428598 | Nicole Whitney Mark | Physician Assistant | 8103 Caminito Sonoma, La Jolla, CA 92037 | 2019-07-11 |
| 1700357936 | Cecelia Rose Greene/pendzich | Mastectomy Fitter | 7760 Fay Ave, Suite M., La Jolla, CA 92037 | 2018-12-16 |
| 1740765890 | Jeenal Ankit Gordhandas | Student in an Organized Health Care Education/Training Program | East Campus Office Building, Medical Center Dr, La Jolla, CA 92037 | 2018-09-25 |
| 1306325220 | Lisa Beth Perlov Marks | Marriage & Family Therapist | 7734 Hershel Avenue, Suite O, La Jolla, CA 92037 | 2018-08-10 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| Find all providers in zip 92037 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205253259 | Marc Henis | Internal Medicine | 1734 Caminito Ardiente, La Jolla, CA 92037-7134 | 2014-03-26 |
| 1093027799 | Bradley Clark Nelson | Internal Medicine | 9500 Gilman Drive, Mail Code 7411, University of California San Diego Health System, La Jolla, CA 92037 | 2010-07-09 |
| 1699925545 | George Mendenhall | Internal Medicine | 9850 Genesee Ave Ste 940, La Jolla, CA 92037 | 2008-09-29 |
| 1962675462 | James Patrick Gray | Internal Medicine | 10820 N Torrey Pines Rd # Fc3, La Jolla, CA 92037-1036 | 2008-04-07 |
| 1780883082 | John Nader Bahadorani | Internal Medicine | 9434 Medical Center Dr, La Jolla, CA 92037-1337 | 2007-07-16 |
| 1124164991 | Thomas John Mcgarry | Internal Medicine | 9444 Medical Center Dr, Mc 7411, La Jolla, CA 92037-1337 | 2007-01-29 |
| 1417026436 | Marcus Lejon Williams | Internal Medicine | 10666 N Torrey Pines Road, La Jolla, CA 92037-1027 | 2006-11-06 |
| 1437239530 | Filip Fattohi | Internal Medicine | 9850 Genesee Ave Ste 770, La Jolla, CA 92037-1232 | 2006-10-16 |
| 1679584551 | Dennis L. Costello | Internal Medicine | 9850 Genesee Ave Ste 780, La Jolla, CA 92037-1232 | 2006-08-10 |
| 1336181858 | Ernest E Pund Jr. | Internal Medicine | 1796 La Jolla Rancho Rd, La Jolla, CA 92037-7847 | 2006-06-11 |
| Find all providers in LA JOLLA | ||||
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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.