Suresh K Sachdeva MD Professional Corporation

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A42843 Issued in CA

Legal business name

SURESH K SACHDEVA MD PROFESSIONAL CORPORATION

Doing business as

Bay Valley Pediatrics

Practice address

1081 Market Place
Suite 800
San Ramon, CA 94583-4750

Phone

(925) 275-0404

Fax

(925) 275-0488

NPI assigned

Apr 27, 2006

Last updated

Feb 23, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Suresh K Sachdeva, M.D.NPI 1326005422

Title

President

Phone

(925) 275-0404

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BAY VALLEY PEDIATRICS Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Suresh K Sachdeva, M.D.

  • Pediatrics Physician
  • San Ramon, CA
  • NPI 1326005422
  NPD Authorized official
• Erum Ansari, MD

  • Pediatrics Physician
  • San Ramon, CA
  • NPI 1881830883
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1215994736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1081 MARKET PLACE",
            "address_2": "SUITE 800",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834750",
            "telephone_number": "925-275-0404",
            "fax_number": "925-275-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 MARKET PLACE",
            "address_2": "SUITE 800",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834750",
            "telephone_number": "925-275-0404",
            "fax_number": "925-275-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURESH K SACHDEVA MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-27",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "SACHDEVA",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-275-0404",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A42843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A428431",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215994736",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BAY VALLEY PEDIATRICS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pediatrics Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.