Active NPI
Priyanka Ajaysinh Rajput, MD
- Family Medicine Physician
- Stockton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 195194
- Practice address
- 701 E Channel St
Stockton, CA 95202-2628 - Phone
- (209) 944-4700
- NPI assigned
- Aug 5, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 5101021786 | MI | |
| Family Medicine Physician | 207Q00000X | 195194 | CA | Primary |
Addresses
Primary practice location
701 E Channel St
Stockton, CA 95202-2628
Mailing address
701 E Channel St
Stockton, CA 95202-2628
Phone (209) 944-4700
Other practice location 1
1000 Oakland Dr
Kalamazoo, MI 49008-1282
Phone (269) 337-4600
Other practice location 2
300 North Ave
Battle Creek, MI 49017-3307
Phone (269) 965-8866
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 E Channel St
Stockton, CA 95202-2628
Phone (209) 944-4700
747 E Channel St
Stockton, CA 95202-2628
Phone (209) 940-4670
Hospital & facility affiliations
- St Joseph'S Medical Center of Stockton
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195194 | CA | MD | Family Medicine Physician |
| 5101021786 | MI | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Centers, Inc. | Current | Accepting new patients | |
| Community Medical Centers Inc | Current | Accepting new patients | |
| Community Medical Centers, Inc. | Current | Accepting new patients |
Locations
701 E Channel St
Stockton, CA 95202
Phone (209) 944-4700
7210 Murray Dr
Stockton, CA 95210
Phone (209) 373-2816
730 N Central Ave
Tracy, CA 95376
Phone (209) 820-1500
Interoperability endpoints
- prajput768547@direct.ochin.org
- priyanka.rajput.p1@direct.gracehealthmi.nextgenshare.com
- priyanka.rajput.p1@direct.cmcentersinc.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Esparto, CA
- NPI 1588729180
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1881685964
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stockton, CA
- NPI 1528190931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1114691870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 E CHANNEL ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022628",
"telephone_number": "209-944-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E CHANNEL ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952022628",
"telephone_number": "209-944-4700"
}
],
"practiceLocations": [
{
"address_1": "1000 Oakland Dr",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490081282",
"country_code": "US",
"telephone_number": "269-337-4600",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 North Ave",
"address_purpose": "LOCATION",
"city": "Battle Creek",
"state": "MI",
"postal_code": "490173307",
"country_code": "US",
"telephone_number": "269-965-8866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RAJPUT",
"first_name": "PRIYANKA",
"middle_name": "AJAYSINH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-05",
"last_updated": "2024-10-23",
"certification_date": "2024-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": "5101021786",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "195194",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.