Organization Active NPI

Rajendra S Sudan

Doing business as Tri County Cardiology Consultant

  • Cardiovascular Disease Physician
  • Folsom, CA
National Provider Identifier
1265474464
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A35386 Issued in CA
Legal business name
RAJENDRA S SUDAN
Doing business as
Tri County Cardiology Consultant
Practice address
1600 Creekside Drive
#2300
Folsom, CA 95630-3447
Phone
(916) 983-2828
Fax
(916) 983-0148
NPI assigned
Jun 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Rajendra Singh Sudan, MDNPI 1932326998
Title
Owner/MD
Phone
(916) 983-2828

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X A35386 CA Primary

Addresses

Primary practice location

1600 Creekside Drive
#2300
Folsom, CA 95630-3447

Mailing address

1600 Creekside Drive
#2300
Folsom, CA 95630-3447
Phone (916) 983-2828

Other names 1

  • Tri County Cardiology Consultant Doing business as

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1265474464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DRIVE",
            "address_2": "#2300",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303447",
            "telephone_number": "916-983-2828",
            "fax_number": "916-983-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 CREEKSIDE DRIVE",
            "address_2": "#2300",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956303447",
            "telephone_number": "916-983-2828",
            "fax_number": "916-983-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJENDRA S SUDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SUDAN",
        "authorized_official_first_name": "RAJENDRA",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "916-983-2828",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A35386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri County Cardiology Consultant",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.