Individual provider Active NPI

Deepa Ramachandran, MD

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1356561930
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
55010 Issued in CA
Practice address
3162 Newberry Dr Ste 30
San Jose, CA 95118-1567
Phone
(408) 335-7640
Fax
(408) 351-8999
NPI assigned
Apr 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 55010 CA Primary

Addresses

Primary practice location

3162 Newberry Dr Ste 30
San Jose, CA 95118-1567

Mailing address

3162 Newberry Dr Ste 30
San Jose, CA 95118-1567
Phone (408) 335-7640

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120525000235 CA Practitioner - Family Practice 2365596509 Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2003
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3162 Newberry Dr
Suite 30
San Jose, CA 95118-1567
Phone (408) 335-7640

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
55010CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
El Camino Hospital Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
Deepa Ramachandran MD Family Medicine PastSince Jun 1, 2012 Accepting new patients
The William W Backus Hospital Family Medicine Past Accepting new patients
El Camino Hospital Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: deepa.ramachandran@125683682050052.direct.elationemr.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1356561930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3162 NEWBERRY DR STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181567",
            "telephone_number": "408-335-7640",
            "fax_number": "408-351-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3162 NEWBERRY DR STE 30",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951181567",
            "telephone_number": "408-335-7640",
            "fax_number": "408-351-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMACHANDRAN",
        "first_name": "DEEPA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "55010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.