Individual provider Active NPI

Rajan Gosain, M.D.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1013271600
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A132233 Issued in CA
Practice address
10419 Old Placerville Rd Ste 252
Sacramento, CA 95827-2527
Phone
(916) 694-0555
NPI assigned
Jun 27, 2012
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 252478 MA
Psychiatry Physician 2084P0800X A132233 CA Primary

Addresses

Primary practice location

10419 Old Placerville Rd Ste 252
Sacramento, CA 95827-2527

Mailing address

4140 De Mille Dr
San Jose, CA 95117-3101
Phone (510) 648-4879

Other practice location 1

2542 S Bascom Ave Ste 110
Campbell, CA 95008-5541
Phone (408) 559-3403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20161205002176 CA Practitioner - Psychiatry 8426341033 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
WK Medical GroupGroup PAC ID 6103116348, 19 clinicians
LGTC GroupGroup PAC ID 0749795102, 22 clinicians

Practice addresses (Care Compare)

1298 Kifer Rd
Suite 515
Sunnyvale, CA 94086-5321
Phone (800) 913-2615

508 Gibson Dr
Suite 140
Roseville, CA 95678-5795
Phone (916) 694-0555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132233CAMDPsychiatry Physician
252478MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajan Gosain, M.D., Inc. Psychiatry Current Accepting new patients
LGTC Group Psychiatry CurrentSince May 6, 2025 Accepting new patients

Locations

508 Gibson Dr
Ste 140
Roseville, CA 95678
Phone (916) 694-0555

10419 Old Placerville Rd
Ste 252
Sacramento, CA 95827
Phone (916) 536-6030

4850 Union Ave
San Jose, CA 95124
Phone (408) 559-5600

1298 Kifer Rd
Ste 515
Sunnyvale, CA 94086
Phone (408) 559-3403

Interoperability endpoints

  • Direct secure messaging: rgosain669851@oc.providencedirect.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013271600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 DE MILLE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951173101",
            "telephone_number": "510-648-4879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10419 OLD PLACERVILLE RD STE 252",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958272527",
            "telephone_number": "916-694-0555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2542 S Bascom Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950085541",
            "country_code": "US",
            "telephone_number": "408-559-3403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOSAIN",
        "first_name": "RAJAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "252478",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A132233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.