Organization Active NPI

T Rajagopal MD Inc

  • Surgery Physician
  • Sacramento, CA
National Provider Identifier
1013312701
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A44837 Issued in CA
Legal business name
T RAJAGOPAL MD INC
Practice address
3939 J St
Suite 340
Sacramento, CA 95819-3666
Phone
(916) 453-8806
Fax
(916) 678-6762
NPI assigned
Oct 24, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Authorized official

Name
Thiru Rajagopal, MDNPI 1124132246
Title
Owner
Phone
(916) 453-8806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A44837 CA Primary

Addresses

Primary practice location

3939 J St
Suite 340
Sacramento, CA 95819-3666

Mailing address

3939 J St
Suite 340
Sacramento, CA 95819-3666
Phone (916) 453-8806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141203001361 CA Part B Supplier - Clinic/Group Practice 3779805635 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

3939 J St
Ste 340
Sacramento, CA 95819
Phone (916) 453-8806

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1414108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414108800000",
    "number": "1013312701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 J ST",
            "address_2": "SUITE 340",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193666",
            "telephone_number": "916-453-8806",
            "fax_number": "916-678-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 J ST",
            "address_2": "SUITE 340",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193666",
            "telephone_number": "916-453-8806",
            "fax_number": "916-678-6762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T RAJAGOPAL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-24",
        "last_updated": "2014-10-24",
        "status": "A",
        "authorized_official_last_name": "RAJAGOPAL",
        "authorized_official_first_name": "THIRU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-453-8806",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A44837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.