Individual provider Active NPI

Ashutosh Raina, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Rocklin, CA
National Provider Identifier
1477787794
Registry record updated Mar 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
A107713 Issued in CA
Practice address
5800 Stanford Ranch Rd
BLDG 800
Rocklin, CA 95765-4385
Phone
(916) 259-1099
Fax
(916) 758-2924
NPI assigned
May 14, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X A107713 CA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X A107713 CA Primary
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X A107713 CA

Addresses

Primary practice location

5800 Stanford Ranch Rd
BLDG 800
Rocklin, CA 95765-4385

Mailing address

5800 Stanford Ranch Rd
BLDG 800
Rocklin, CA 95765-4385
Phone (916) 259-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A107713CAMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concussion Medical Clinics Neurology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: araina234096@hisp.ehr.sutterhealth.org

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1242259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488844800000",
    "number": "1477787794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 STANFORD RANCH RD",
            "address_2": "BLDG 800",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654385",
            "telephone_number": "916-259-1099",
            "fax_number": "916-758-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 STANFORD RANCH RD",
            "address_2": "BLDG 800",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "957654385",
            "telephone_number": "916-259-1099",
            "fax_number": "916-758-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAINA",
        "first_name": "ASHUTOSH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-14",
        "last_updated": "2017-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A107713",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "CA",
            "license": "A107713",
            "primary": true
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "CA",
            "license": "A107713",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2017; 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.