Pratibha Ramesh Desai, M D FACOG

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A 31924 Issued in CA

Practice address

1725 W 17TH Street
Health Care Agency
Santa Ana, CA 92706

Phone

(714) 834-8780

Fax

(714) 834-8275

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588725832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 W CASPER CT",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906312050",
            "telephone_number": "562-266-1477",
            "fax_number": "562-266-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W 17TH STREET",
            "address_2": "HEALTH CARE AGENCY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "92706",
            "telephone_number": "714-834-8780",
            "fax_number": "714-834-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESAI",
        "first_name": "PRATIBHA",
        "middle_name": "RAMESH",
        "name_prefix": "Dr.",
        "credential": "M D FACOG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A 31924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Roberts Deppe, M.D.
• Derm Rad PC
• Margaret Mary Desa, M.D.
• Jenna Prakash Desai
• Madhavi Janak Desai, D.D.S
• Rajiv Nathubhai Desai, D.D.S.
• Jennifer Elaine Desby, PA-C
• Desert Morning Glory, Inc
• Sanjay Vijay Deshmukh, M. D.
• Desmond E. McGuire, M. D., Inc.

• Obstetrics & Gynecology Physician in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.