Sanjay Ghosh, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

A62563 Issued in CA

Practice address

6645 Alvarado Rd
Suite# 4000
San Diego, CA 92120-5208

Phone

(619) 229-3105

Fax

(619) 229-3127

NPI assigned

Jun 19, 2006

Last updated

Nov 23, 2009By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2013 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sghosh43491@scrippshlth.medalliesdirect.net

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.

• San Diego Neurotrauma Associates Inc

  • Neurological Surgery Physician
  • San Diego, CA
  • NPI 1780822213
  NPD Authorized official
• Senta Neurosurgery Inc

  • Neurological Surgery Physician
  • San Diego, CA
  • NPI 1831714617
  NPD Authorized official
• Scripps Health

  dba Scripps Hospital Medical Services

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Scott Leary, M.D., Inc.

  • Neurological Surgery Physician
  • San Diego, CA
  • NPI 1699944132
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258934400000",
    "number": "1346285566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 ALVARADO RD",
            "address_2": "SUITE# 4000",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "619-229-3105",
            "fax_number": "619-229-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 ALVARADO RD",
            "address_2": "SUITE# 4000",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205208",
            "telephone_number": "619-229-3105",
            "fax_number": "619-229-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHOSH",
        "first_name": "SANJAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2009-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "A62563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A625630",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pardis Gholami, DDS
• Taha Gholipour, MD
• Zahra Ghorishi, M.D.
• Zahra Ghorwal
• Niharika Ghosh
• Tanushree Ghosh, DO
• Joele Ghosn, MS
• Omar Ghosn, MD
• Stephanie Rene Ghosn
• Noah Ibrahim Ghossein, MD

• Neurological Surgery Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.