Individual provider Active NPI

Neekita Ramju Saudagar, DDS

  • General Practice Dentistry
  • Prunedale, CA
National Provider Identifier
1619761202
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
112713 Issued in CA
Practice address
17820 Moro Rd
Prunedale, CA 93907-8564
Phone
(831) 663-2660
NPI assigned
Apr 8, 2025
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 112713 CA Primary

Addresses

Primary practice location

17820 Moro Rd
Prunedale, CA 93907-8564

Mailing address

1110 Vintage LN # G200
Morgan Hill, CA 95037-9763
Phone (352) 870-1585

Other practice location 1

2440 Fremont St Ste 211
Monterey, CA 93940-6850
Phone (831) 643-2228

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250829000003 OR Order and Referring Only - DentistPractitioner - Dentist 5597266700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
112713CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Adriana Lalinde DDS Inc. General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1744070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1619761202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 VINTAGE LN # G200",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950379763",
            "telephone_number": "352-870-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17820 MORO RD",
            "city": "PRUNEDALE",
            "state": "CA",
            "postal_code": "939078564",
            "telephone_number": "831-663-2660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 Fremont St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939406850",
            "country_code": "US",
            "telephone_number": "831-643-2228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAUDAGAR",
        "first_name": "NEEKITA",
        "middle_name": "RAMJU",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-08",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prunedale, CA

Sources for this page

Verify at the official NPI Registry.