Nivedha Pothaka Rajan

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2074566666 Issued in CA

Practice address

36808 Oak St
Fremont, CA 94536-4817

Phone

(510) 203-9392

NPI assigned

May 12, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

American Specialty Physicians Group IncGroup PAC ID 6103198460, 99 clinicians

Pittsburg-Antioch Medical Group a Professional CorporationGroup PAC ID 3173535846, 14 clinicians

Axis Community Health IncGroup PAC ID 7012975071, shared by 5 NPIs, 39 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kentfield Hospital Long-term care hospital, Kentfield, CA, CCN 052043

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• American Specialty Physicians Group Inc

  • Emergency Medicine Physician
  • Modesto, CA
  • NPI 1568992923

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Pittsburg-Antioch Medical Group a Professional Corporation

  • Internal Medicine Physician
  • Pittsburg, CA
  • NPI 1619922911
  Care Compare group

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

• Kentfield and San Francisco Specialty Hospital Inc

  • Long Term Care Hospital
  • San Francisco, CA
  • NPI 1619758539

  Long-term care hospital

  Care Compare affiliation
• Kentfield and San Francisco Specialty Hospital Inc

  • Long Term Care Hospital
  • Kentfield, CA
  • NPI 1841071776

  Long-term care hospital

  Care Compare affiliation

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781827200000",
    "number": "1144804329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36808 OAK ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364817",
            "telephone_number": "510-203-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36808 OAK ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945364817",
            "telephone_number": "510-203-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAN",
        "first_name": "NIVEDHA",
        "middle_name": "POTHAKA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2026-06-19",
        "certification_date": "2026-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "2074566666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle Rainville
• Neelama Nisha Raj
• Architha Raja, PA
• Bhavana Raja
• Sheeva Rajaei, MD
• Raji Rajan
• Dheepthi Rajasekar, DDS
• Reha Rajendran
• Reha Rajendran, LCSW
• Rajesh S Suri

• Internal Medicine Physician in Fremont, CA
• Providers in Fremont, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.

Verify at the official NPI Registry.