Active NPI
Deepthi Kesanapalli, M.D
- Pediatrics Physician
- El Cajon, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A130264
- Practice address
- 1111 W Chase Ave
El Cajon, CA 92020-5710 - Phone
- (619) 515-2499
- NPI assigned
- Jun 6, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A130264 | CA | Primary |
Addresses
Primary practice location
1111 W Chase Ave
El Cajon, CA 92020-5710
Mailing address
13885 Clatsop Way
San Diego, CA 92129
Phone (904) 962-6763
Other practice location 1
7910 Frost St
Suite 335
San Diego, CA 92123-2771
Phone (858) 576-8010
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Single Specialty | Current | Accepting new patients |
| Kesanapalli Pediatrics Professional Medical Corporation | Single Specialty | Current | Accepting new patients |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Single Specialty | Current | Accepting new patients |
| Rady Children'S Hospital San Diego | Past | Accepting new patients | |
| Sharp Memorial Hospital | Past | Accepting new patients |
Locations
1111 W Chase Ave
El Cajon, CA 92020
Phone (619) 515-2499
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
7910 Frost St
Ste 335
San Diego, CA 92123
Phone (858) 576-8010
Interoperability endpoints
- dkesanapalli78363@scrippshlth.medalliesdirect.net
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
Single Specialty
-
- Pediatrics Physician
- San Diego, CA
- NPI 1780841841
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- El Cajon, CA
- NPI 1104861681
Single Specialty
-
- Federally Qualified Health Center (FQHC)
- Chula Vista, CA
- NPI 1346480837
-
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Diego, CA
- NPI 1851303994
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1487948584",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13885 CLATSOP WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92129",
"telephone_number": "904-962-6763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 W CHASE AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920205710",
"telephone_number": "619-515-2499"
}
],
"practiceLocations": [
{
"address_1": "7910 Frost St",
"address_2": "Suite 335",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921232771",
"country_code": "US",
"telephone_number": "858-576-8010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KESANAPALLI",
"first_name": "DEEPTHI",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-06",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A130264",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.