Kasthuri Rajaram, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A31628 Issued in CA

Practice address

21297 Foothill Blvd #100
Hayward, CA 94541-1552

Phone

(510) 886-8854

Fax

(510) 886-6709

NPI assigned

Aug 2, 2006

Last updated

Jul 8, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kasthuri Selvanathan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Hayward Pediatric Medical Clinic

  • Pediatrics Physician
  • Hayward, CA
  • NPI 1558502625
  NPD

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594166400000",
    "number": "1326055963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21297 FOOTHILL BLVD #100",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411552",
            "telephone_number": "510-886-8854",
            "fax_number": "510-886-6709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21297 FOOTHILL BLVD #100",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411552",
            "telephone_number": "510-886-8854",
            "fax_number": "510-886-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJARAM",
        "first_name": "KASTHURI",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A31628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A316280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASTHURI",
            "last_name": "SELVANATHAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Meenakshi Raichur
• Diana Consuelo Rais, M.S.
• Alka Raisinghani
• Vishal Raj
• Angelin Rajamohan
• Kavitha Rajaram, MD
• Shruti Rajmohan
• Sowmya Ramadas
• Priya Ramanathan
• Ana Maria Ramirez Mendoza

• Pediatrics Physician in Hayward, CA
• Providers in Hayward, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.