Individual provider Active NPI

Neil Rajdev, MD

  • Psychiatry Physician
  • Campbell, CA
National Provider Identifier
1497215586
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A185804 Issued in CA
Practice address
2542 S Bascom Ave Ste 110
Campbell, CA 95008-5541
Phone
(408) 559-3403
NPI assigned
Mar 23, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A185804 CA Primary

Addresses

Primary practice location

2542 S Bascom Ave Ste 110
Campbell, CA 95008-5541

Mailing address

2542 S Bascom Ave Ste 110
Campbell, CA 95008-5541
Phone (408) 559-3403

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
I20250725003880 CA Practitioner - Psychiatry 6305174731 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A185804CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LGTC Group Psychiatry CurrentSince May 20, 2025 Accepting new patients
LGTC Inc PastSince Feb 1, 2024 Accepting new patients
WK Medical Group Psychiatry PastSince Apr 6, 2016 Accepting new patients
Los Gatos Therapy Center PastSince Apr 17, 2022 Accepting new patients

Locations

1575 Old Bayshore Hwy
Ste 201
Burlingame, CA 94010
Phone (408) 542-0399

2235 Douglas Blvd
Ste 500
Roseville, CA 95661
Phone (916) 625-6878

508 Gibson Dr
Ste 140
Roseville, CA 95678
Phone (916) 694-0555

4850 Union Ave
San Jose, CA 95124
Phone (408) 559-5600

1298 Kifer Rd
Ste 515
Sunnyvale, CA 94086
Phone (408) 559-3403

Organizations & group practices 4

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": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1497215586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 S BASCOM AVE STE 110",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085541",
            "telephone_number": "408-559-3403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 S BASCOM AVE STE 110",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950085541",
            "telephone_number": "408-559-3403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJDEV",
        "first_name": "NEIL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A185804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

Verify at the official NPI Registry.