Individual provider Active NPI

Deepthi Kesanapalli, M.D

  • Pediatrics Physician
  • El Cajon, CA
National Provider Identifier
1487948584
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A130264 Issued in CA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171004003437 CA Practitioner - Pediatric Medicine 8820363666 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Centers of San Diego, Inc CurrentSince Sep 27, 2017 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 CurrentSince Sep 27, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.