Prajakta Deshpande, MD

Primary specialty

Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X

License

MD133444 Issued in CA

Legal business name

PRAJAKTA DESHPANDE, MD

Practice address

6800 Lincoln Ave
Suite 203 B
Buena Park, CA 90620-4162

Phone

(714) 252-9150

Fax

(714) 252-9157

NPI assigned

Dec 17, 2014

Organization subpart

No

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

Authorized official

Name

Prajakta Abhijit Deshpande, MD

Title

MD, Director

Phone

(714) 252-9150

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418774400000",
    "number": "1265830673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8051",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989080051",
            "telephone_number": "714-252-9150",
            "fax_number": "714-252-9157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 LINCOLN AVE",
            "address_2": "SUITE 203 B",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906204162",
            "telephone_number": "714-252-9150",
            "fax_number": "714-252-9157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAJAKTA DESHPANDE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A",
        "authorized_official_last_name": "DESHPANDE",
        "authorized_official_first_name": "PRAJAKTA",
        "authorized_official_middle_name": "ABHIJIT",
        "authorized_official_title_or_position": "MD, DIRECTOR",
        "authorized_official_telephone_number": "714-252-9150",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "MD133444",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "MD133444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BL",
            "identifier": "024822",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Sleep Medicine (Family Medicine) Physician in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Sleep Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.