Individual provider Active NPI

Rakhesh Guttikonda, D.O.

  • Plastic and Reconstructive Surgery Physician
  • National City, CA
National Provider Identifier
1073889465
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
13307 Issued in CA
Practice address
655 Euclid Ave Ste 200
National City, CA 91950-2957
Phone
(619) 470-4235
Fax
(619) 437-1857
NPI assigned
Mar 29, 2012
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery Physician 2086S0122X 13307 CA Primary

Addresses

Primary practice location

655 Euclid Ave Ste 200
National City, CA 91950-2957

Mailing address

655 Euclid Ave Ste 200
National City, CA 91950-2957
Phone (619) 470-4235

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
I20141023001163 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - Hand Surgery 9931320595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: Hand Surgery
Education
Kansas City College of Medicine and Surgery, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rakhesh Guttikonda Medical IncGroup PAC ID 9032330691, 5 clinicians
Guttikonda IncGroup PAC ID 0042799132, 2 clinicians

Practice addresses (Care Compare)

655 Euclid Ave
Suite 200
National City, CA 91950-2957
Phone (619) 470-4325

655 Euclid Ave
Suite 200
National City, CA 91950-2966
Phone (619) 470-4325

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue158
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Guttikonda, Inc. CurrentSince Dec 14, 2025 Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Paradise Valley Hospital Past Accepting new patients

Locations

655 Euclid Ave
Ste 200
National City, CA 91950
Phone (213) 675-1613

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1073889465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 200",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502957",
            "telephone_number": "619-470-4235",
            "fax_number": "619-437-1857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 200",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502957",
            "telephone_number": "619-470-4235",
            "fax_number": "619-437-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTTIKONDA",
        "first_name": "RAKHESH",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-29",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "13307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.