Organization Active NPI

Ujwala Rajgopal, MD Professional Corporation

  • Surgery Physician
  • Encinitas, CA
National Provider Identifier
1043410764
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A56387 Issued in CA
Legal business name
UJWALA RAJGOPAL, MD PROFESSIONAL CORPORATION
Practice address
320 Santa Fe Dr Ste 300
Encinitas, CA 92024-5140
Phone
(760) 753-5667
Fax
(760) 753-7416
NPI assigned
Jul 20, 2007
Last updated
Sep 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Dr. Ujwala Deshmane Rajgopal, MDNPI 1639111099
Title
President
Phone
(858) 774-0719

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A56387 CA Primary

Addresses

Primary practice location

320 Santa Fe Dr Ste 300
Encinitas, CA 92024-5140

Mailing address

12435 Ragweed St
San Diego, CA 92129-4161
Phone (858) 484-8557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1043410764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12435 RAGWEED ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921294161",
            "telephone_number": "858-484-8557",
            "fax_number": "858-484-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 300",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245140",
            "telephone_number": "760-753-5667",
            "fax_number": "760-753-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UJWALA RAJGOPAL, MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "RAJGOPAL",
        "authorized_official_first_name": "UJWALA",
        "authorized_official_middle_name": "DESHMANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-774-0719",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A56387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.