Deepanjali Vedantam, MD

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

13697 Issued in CA

Practice address

1100 Butte St
Redding, CA 96001-0852

Phone

(530) 244-8250

NPI assigned

Jul 31, 2023

Last updated

Apr 17, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1346921574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 SAINT MARKS ST APT 54",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960031897",
            "telephone_number": "682-386-5787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BUTTE ST",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960010852",
            "telephone_number": "530-244-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDANTAM",
        "first_name": "DEEPANJALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-31",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "13697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Vargas, FNP-C
• Darcy Jane Varnum, M.A., M.F.T.
• Orion Alexander Vasilas
• Cherish Carlette Padro Vasquez, MA, LMFT
• Billie Bennett Vaughn
• Maggie Maxima Velazquez, RDHAP
• Derry Velin
• Leah Veloso, AMFT
• Carey Anne Venglarcik, M.D.
• Cynthia Vengley

• Student in an Organized Health Care Education/Training Program in Redding, CA
• Providers in Redding, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.