Rajan Gosain, M.D.
Individual provider Active NPI Psychiatry Physician · Sacramento, CA
NPI 1013271600 · NPPES record last updated Jul 21, 2022
Key facts
- NPI
- 1013271600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- A132233 (CA)
- Practice address
- 10419 Old Placerville Rd Ste 252
Sacramento, CA 95827-2527 - Phone
- (916) 694-0555
- NPI assigned
- Jun 27, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- WK Medical Group
LGTC Group
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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161205002176 | CA | Practitioner - Psychiatry | 8426341033 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A132233 | CA | MD | Psychiatry Physician |
| 252478 | MA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rajan Gosain, M.D., Inc. | Psychiatry | Current | Accepting new patients |
| LGTC Group | Psychiatry | Current |
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) 694-0555
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
- rgosain669851@oc.providencedirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 252478 | MA | |
| Psychiatry Physician | 2084P0800X | A132233 | CA | Yes |
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
Other providers in Sacramento, CA
- Farzam Gorouhi
- Morgana Fae Gorre-Clancy
- Alicia Gorton
- Morgan Nikole Gory
- Anjali Gosai
- Amandeep Kaur Gosal
- Bimaldeep Gosal
- Jaslin Kaur Gosal
- Christine Elizabeth Gosch
- Matthew James Gosen
All providers in Sacramento, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.