Individual provider Active NPI

Rajesh Kadakia, MD

  • Emergency Medicine Physician
  • San Clemente, CA
National Provider Identifier
1407975501
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A41855 Issued in CA
Practice address
910 S El Camino Real Ste a
San Clemente, CA 92672-4279
Phone
(949) 492-4994
NPI assigned
Mar 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A41855 CA Primary

Addresses

Primary practice location

910 S El Camino Real Ste a
San Clemente, CA 92672-4279

Mailing address

910 S El Camino Real Ste a
San Clemente, CA 92672-4279
Phone (949) 492-4994

Other identifiers 1

IdentifierTypeStateIssuer
W41855DOtherCALEGACY PROVIDER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20050222000584 CA Practitioner - Emergency Medicine 4082666573 Reassigns benefits to 4 organizations
I20070925000592 AZ Practitioner - Emergency Medicine 4082666573 Reassigns benefits to 3 organizations
I20160525001119 NM Practitioner - Emergency Medicine 4082666573 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sound Physicians Emergency Medicine of Southern California PC 18 clinicians

Practice addresses (Care Compare)

350 S Oak Ave
Oakdale, CA 95361-3519
Phone (209) 847-3012

910 S El Camino Real
Suite a
San Clemente, CA 92672-4279
Phone (949) 492-4994

Hospital & facility affiliations

  • Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41855CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Darshana R. Kadakia MD Inc Current Accepting new patients
Rajesh J Kadakia M D a Medical Corporation CurrentSince Jan 1, 1995 Accepting new patients
Sound Physicians Emergency Medicine of Arizona, Inc. Emergency Medicine CurrentSince May 5, 2024 Accepting new patients
Ess Hospitalist LLC CurrentSince Nov 20, 2018 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC CurrentSince Dec 8, 2024 Accepting new patients
Tempe Emergency Physicians, LTD Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Jan 21, 2024 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Jan 1, 2019 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Mar 30, 2019 Accepting new patients
Emergency Staffing Solutions Inc Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Emcare Physician Providers, Inc Emergency Medicine Past Accepting new patients
H. Allen Hooper, M.D. a Professional Corporation Emergency Medicine Past Accepting new patients
San Clemente Medi-Center Past Accepting new patients
Saguaro Emergency Physicians Emergency Medicine Past Accepting new patients
Premier Emergency Physicians of California Medical Group PC Emergency Medicine Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1171 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3000

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

6350 W Marana Center Blvd
Tucson, AZ 85742
Phone (520) 579-6040

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

910 S El Camino Real
San Clemente, CA 92672
Phone (949) 248-7246

910 S El Camino Real
Ste A
San Clemente, CA 92672
Phone (714) 492-4994

910 S El Camino Real
Ste 100
San Clemente, CA 92672
Phone (949) 363-3162

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

Interoperability endpoints

  • Direct secure messaging: rkadakia8868@ahs.direct-ci.com

Organizations & group practices 18

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.

View all 18

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470960000000",
    "number": "1407975501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 S EL CAMINO REAL STE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724279",
            "telephone_number": "949-492-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 S EL CAMINO REAL STE A",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724279",
            "telephone_number": "949-492-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAKIA",
        "first_name": "RAJESH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-28",
        "last_updated": "2016-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A41855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY PROVIDER",
            "identifier": "W41855D",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Clemente, CA

Sources for this page

Verify at the official NPI Registry.