Luis Rafael Desouza, M.D., PH.D, M.P.H

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A41238 Issued in CA

Practice address

2001 Zinfandel Dr
Suite a-1
Rancho Cordova, CA 95670

Phone

(916) 859-9934

Fax

(916) 859-9994

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Luis R Desouza Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1194776740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 ZINFANDEL DR",
            "address_2": "SUITE A-1",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-859-9934",
            "fax_number": "916-859-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 ZINFANDEL DR",
            "address_2": "SUITE A-1",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670",
            "telephone_number": "916-859-9934",
            "fax_number": "916-859-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUZA",
        "first_name": "LUIS",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D, M.P.H",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "A41238",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A41238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LUIS",
            "last_name": "DESOUZA",
            "middle_name": "R",
            "credential": "MD, PHD, MPH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Marcia Lee Della Santa
• Samhain Kris Dempsey
• Shawna Denney
• Trinisha Dennings
• Vasudeva Desai, M.D.
• Robinder Jeet Singh Dhillon, M.D., M.B.A.
• Robert P. Diamond, MD
• Dignity Health
• Dignity Health
• Dignity Health Medical Foundation

• General Practice Physician in Rancho Cordova, CA
• Providers in Rancho Cordova, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.