Individual provider Active NPI

Deepti Chandran, MD

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Capitola, CA
National Provider Identifier
1093839532
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
License
A102589 Issued in CA
Practice address
815 Bay Ave
Suite B
Capitola, CA 95010-2186
Phone
(831) 460-7333
NPI assigned
Mar 19, 2007
Last updated
Feb 3, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A102589 CA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X A102589 CA Primary

Addresses

Primary practice location

815 Bay Ave
Suite B
Capitola, CA 95010-2186

Mailing address

2025 Soquel Ave
Santa Cruz, CA 95062-1323
Phone (831) 458-6603

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
I20091029000362 CA Practitioner - Internal MedicinePractitioner - Hospitalist 9638216336 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Wright State University Boonshoft School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Puja Thakkar DO Medical CorporationGroup PAC ID 8325317209, 7 clinicians
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

2222 Camino Ramon
San Ramon, CA 94583-1350
Phone (925) 820-4472

39055 Hastings St
Suite 106
Fremont, CA 94538-1518
Phone (925) 820-4472

4101 Torrance Blvd
Torrance, CA 90503-4607
Phone (310) 303-7496

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A102589CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Providence Medical Institute Internal Medicine Current Accepting new patients
Providence Medical Institute Internal Medicine CurrentSince Jul 1, 2012 Accepting new patients
Providence Saint Johns Medical Foundation Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Superior Hospitalist Medical Group Inc Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Puja Thakkar, D.O., Medical Corporation CurrentSince Feb 1, 2026 Accepting new patients
Saint John's Health Clinic Past Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

39055 Hastings St
Ste 106
Fremont, CA 94538
Phone (510) 789-3368

1680 E 120th St
Los Angeles, CA 90059
Phone (424) 338-8000

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

1499 W 1st St
San Pedro, CA 90732
Phone (310) 241-2590

2222 Camino Ramon
San Ramon, CA 94583
Phone (925) 820-4472

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

3330 Lomita Blvd
Torrance, CA 90505
Phone (310) 517-4675

3330 Lomita Blvd
Fl 5
Torrance, CA 90505
Phone (310) 517-4735

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 7

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": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770076800000",
    "number": "1093839532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 SOQUEL AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621323",
            "telephone_number": "831-458-6603",
            "fax_number": "831-458-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BAY AVE",
            "address_2": "SUITE B",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950102186",
            "telephone_number": "831-460-7333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDRAN",
        "first_name": "DEEPTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A102589",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "A102589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

Verify at the official NPI Registry.