Individual provider Active NPI

Rajiv Siddhartha Vasudevan

  • Student in an Organized Health Care Education/Training Program
  • La Jolla, CA
National Provider Identifier
1023766375
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
University of California San Diego School of Medicine
La Jolla, CA 92093-0001
Phone
(650) 714-7908
NPI assigned
Mar 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

University of California San Diego School of Medicine
La Jolla, CA 92093-0001

Mailing address

University of California San Diego School of Medicine
La Jolla, CA 92093-1329
Phone (650) 714-7908

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rvasudev@health.ucsd Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20251014002857 CT Order and Referring Only - Orthopedic SurgeryPractitioner - Orthopedic Surgery 2163919101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • Direct secure messaging: rvasudevan589314@direct.ynhh.org

NPI Registry JSON

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1023766375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CALIFORNIA SAN DIEGO SCHOOL OF MEDICINE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920931329",
            "telephone_number": "650-714-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CALIFORNIA SAN DIEGO SCHOOL OF MEDICINE",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920930001",
            "telephone_number": "650-714-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASUDEVAN",
        "first_name": "RAJIV",
        "middle_name": "SIDDHARTHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rvasudev@health.ucsd",
            "affiliation": "N",
            "endpointDescription": "encrypted health email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "University of California, San Diego",
            "address_2": "School of Medicine",
            "city": "La Jolla",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92093",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.