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

Last updated

Jun 19, 2026By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 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

  dba Springhill Medical Group

  • 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

  dba Kentfield Hospital San Francisco

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

  Long-term care hospital

  Care Compare affiliation
• Kentfield and San Francisco Specialty Hospital Inc

  dba Kentfield Hospital

  • 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 (West Coast Medcine and Cardiology)

• 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.