Sanjay Vijay Deshmukh, M. D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A65424 Issued in CA

Practice address

1625 E 17TH St
Ste. 100
Santa Ana, CA 92705-8517

Phone

(714) 543-9555

Fax

(714) 543-9595

NPI assigned

Oct 13, 2005

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

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

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

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Precision Occupational Medical Group IncGroup PAC ID 4183764574, 17 clinicians

California Diagnostic Specialists IncGroup PAC ID 9234465006, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• California Diagnostic Specialists, Inc.

  • Electroneurodiagnostic Specialist/Technologist
  • Garden Grove, CA
  • NPI 1982267001
  Medicare reassignment Care Compare group NPD
• Precision Occupational Medical Group, Inc.

  • Physical Medicine & Rehabilitation Physician
  • West Covina, CA
  • NPI 1821290024
  Medicare reassignment Care Compare group NPD
• Rancho Faculty Medical Associates, Inc.

  • General Acute Care Hospital
  • Downey, CA
  • NPI 1750317970
  NPD (past)
• Southern California Medical Specialists, Inc.

  • Medical Specialty Clinic/Center
  • Santa Ana, CA
  • NPI 1689811069
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1487642377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 E 17TH ST",
            "address_2": "STE. 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058517",
            "telephone_number": "714-543-9555",
            "fax_number": "714-543-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 E 17TH ST",
            "address_2": "STE. 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927058517",
            "telephone_number": "714-543-9555",
            "fax_number": "714-543-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHMUKH",
        "first_name": "SANJAY",
        "middle_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A65424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madhavi Janak Desai, D.D.S
• Pratibha Ramesh Desai, M D FACOG
• Rajiv Nathubhai Desai, D.D.S.
• Jennifer Elaine Desby, PA-C
• Desert Morning Glory, Inc
• Desmond E. McGuire, M. D., Inc.
• Desmond E. McGuire, M.D. Inc.
• Bryan Despi
• Daria Destories
• Gaylynn M Deters, O.D.

• Specialist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.