Individual provider Active NPI

Rajdeep K Sahota, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Modesto, CA
National Provider Identifier
1336311760
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
4882 Issued in CA
Practice address
2116 E Orangeburg Ave
Suite a
Modesto, CA 95355-3370
Phone
(209) 577-1411
NPI assigned
Mar 26, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC005852 PA
Foot & Ankle Surgery Podiatrist 213ES0103X 4882 CA Primary

Addresses

Primary practice location

2116 E Orangeburg Ave
Suite a
Modesto, CA 95355-3370

Mailing address

2116 E Orangeburg Ave
Suite a
Modesto, CA 95355-3370
Phone (209) 577-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101029000628 CA Practitioner - Podiatry 4880738988 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Faculty Medical Group CurrentSince Dec 3, 2019 Accepting new patients
County of San Joaquin CurrentSince Jan 25, 2020 Accepting new patients
County of San Joaquin CurrentSince Jan 25, 2020 Accepting new patients
Eric L Giang DO Inc a Professional Corporation PastSince Jun 21, 2020 Accepting new patients

Locations

500 W Hospital Rd
Ste A
French Camp, CA 95231
Phone (209) 468-6820

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

500 W Hospital Rd
Ste C
French Camp, CA 95231
Phone (209) 468-6820

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1336311760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2116 E ORANGEBURG AVE",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553370",
            "telephone_number": "209-577-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2116 E ORANGEBURG AVE",
            "address_2": "SUITE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553370",
            "telephone_number": "209-577-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHOTA",
        "first_name": "RAJDEEP",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC005852",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "4882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.