Organization Active NPI

Rakhesh Guttikonda Medical Inc

  • Plastic and Reconstructive Surgery Physician
  • National City, CA
National Provider Identifier
1386047660
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
RAKHESH GUTTIKONDA MEDICAL INC
Practice address
655 Euclid Ave Ste 200
National City, CA 91950-2957
Phone
(619) 470-4325
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Authorized official

Name
Dr. Rakhesh Guttikonda, DONPI 1073889465
Title
President
Phone
(619) 437-1388

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0122X Primary
Medical Specialty Clinic/Center 261QM2500X 20A13307 CA

Addresses

Primary practice location

655 Euclid Ave Ste 200
National City, CA 91950-2957

Mailing address

655 Euclid Ave Ste 200
National City, CA 91950-2957
Phone (619) 470-4325

Other practice location 1

15708 Pomerado Rd Ste N202
Poway, CA 92064-2066
Phone (619) 310-9398

Other practice location 2

230 Prospect Pl
Suite 310
Coronado, CA 92118-1978
Phone (619) 437-1388

Other names 1

  • HealMedO2 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141023001051 CA Part B Supplier - Clinic/Group Practice 9032330691 Receives reassigned benefits from 5 practitioners
Practice locations: National City, CA; Poway, CA; Temecula, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2295102Healmedo2655 Euclid Ave, National City, CA 91950RegistrationOct 23, 2027

National Provider Directory

National Provider Directory

Locations

31515 Rancho Pueblo Rd
Ste 103
Temecula, CA 92592
Phone (319) 321-5786

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1386047660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 200",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502957",
            "telephone_number": "619-470-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 EUCLID AVE STE 200",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502957",
            "telephone_number": "619-470-4325"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15708 Pomerado Rd Ste N202",
            "address_purpose": "LOCATION",
            "city": "Poway",
            "state": "CA",
            "postal_code": "920642066",
            "country_code": "US",
            "telephone_number": "619-310-9398",
            "fax_number": "619-472-4538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "230 Prospect Pl",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Coronado",
            "state": "CA",
            "postal_code": "921181978",
            "country_code": "US",
            "telephone_number": "619-437-1388",
            "fax_number": "619-437-1857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAKHESH GUTTIKONDA MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A",
        "authorized_official_last_name": "GUTTIKONDA",
        "authorized_official_first_name": "RAKHESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-437-1388",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "20A13307",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HealMedO2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in National City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.