Individual provider Active NPI

Rajdeep Vijay Ranade, M.D.

  • Psychiatry Physician
  • Sacramento, CA
National Provider Identifier
1164614400
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A105766 Issued in CA
Practice address
2180 Harvard St Ste 210
Sacramento, CA 95815-3318
Phone
(916) 567-3500
Fax
(916) 567-3501
NPI assigned
Aug 10, 2007
Last updated
Nov 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A105766 CA Primary

Addresses

Primary practice location

2180 Harvard St Ste 210
Sacramento, CA 95815-3318

Mailing address

3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900

Other practice location 1

9343 Tech Center Dr Ste 110
Sacramento, CA 95826-2592
Phone (408) 465-8280

Other identifiers 2

IdentifierTypeStateIssuer
036-119116OtherILSTATE LICENSE NUMBER
A105766OtherCACA STATE LICENSE NUMBER

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
I20090718000005 CA Practitioner - Psychiatry 0446342083 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacramento Neuropsych Associates IncGroup PAC ID 3971970807, 8 clinicians

Practice addresses (Care Compare)

1590 Drew Ave
Suite 200
Davis, CA 95618-7848
Phone (530) 297-7500

2180 Harvard St
Suite 210
Sacramento, CA 95815-3318
Phone (855) 501-1004

5800 Stanford Ranch Rd
Suite 720
Rocklin, CA 95765-4387
Phone (916) 473-2235

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105766CAMDDentist
A105766CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin County Behavioral Health Services CurrentSince May 10, 2024 Accepting new patients
County of San Luis Obispo Current Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatry Current Accepting new patients
San Joaquin Behavioral Health Services Current Accepting new patients
County of San Luis Obispo CurrentSince May 13, 2022 Accepting new patients
County of Tulare Current Accepting new patients
County of San Joaquin CurrentSince May 10, 2024 Accepting new patients
County of Tulare CurrentSince May 13, 2022 Accepting new patients
Sacramento Neuropsych Associates Inc Psychiatry CurrentSince Mar 1, 2026 Accepting new patients
County of Tulare CurrentSince May 13, 2022 Accepting new patients
Mark David Levine, MD Burlingame PC Psychiatry CurrentSince Oct 1, 2017 Accepting new patients
County of San Luis Obispo CurrentSince May 13, 2022 Accepting new patients
Mark David Levine, Elk Grove, Professional Corportation Psychiatry CurrentSince Oct 1, 2017 Accepting new patients
Mark David Levine, MD, Psychiatry Associates, P.C. Psychiatry Past Accepting new patients
Mark David Levinem MD Sunnyvale PC Psychiatry Past Accepting new patients

Locations

1590 Drew Ave
Ste 200
Davis, CA 95618
Phone (530) 297-7500

2150 E Bidwell St
Folsom, CA 95630
Phone (916) 473-2235

5100 N 6th St
Ste 135
Fresno, CA 93710
Phone (559) 490-2067

1209 W Tokay St
Ste 5
Lodi, CA 95240
Phone (209) 331-2070

3501 Coffee Rd
Ste 7
Modesto, CA 95355
Phone (209) 676-3069

5800 Stanford Ranch Rd
Ste 720
Rocklin, CA 95765
Phone (916) 473-2235

1420 Rocky Ridge Dr
Ste 120
Roseville, CA 95661
Phone (916) 659-8225

2081 Arena Blvd
Ste 160
Sacramento, CA 95834
Phone (916) 285-8971

2180 Harvard St
Ste 210
Sacramento, CA 95815
Phone (916) 567-3500

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

999 Baker Way
Ste 420
San Mateo, CA 94404
Phone (650) 571-9652

2178 Johnson Ave
Sn Luis Obisp, CA 93401
Phone (805) 781-4711

1212 N California St
Stockton, CA 95202
Phone (209) 468-8660

520 E Tulare Ave
Visalia, CA 93292

5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1186704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1164614400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "916-576-7900",
            "fax_number": "916-285-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 HARVARD ST STE 210",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958153318",
            "telephone_number": "916-567-3500",
            "fax_number": "916-567-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9343 Tech Center Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958262592",
            "country_code": "US",
            "telephone_number": "408-465-8280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANADE",
        "first_name": "RAJDEEP",
        "middle_name": "VIJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-10",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A105766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "036-119116",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA STATE LICENSE NUMBER",
            "identifier": "A105766",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.