Active NPI
Tushar Goradia, M.D., PH.D.
- Neurological Surgery Physician
- Fair Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G86829
- Practice address
- 4003 Bridge St
Fair Oaks, CA 95628-7503 - Phone
- (916) 534-1234
- NPI assigned
- Jun 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G86829 | CA | Primary |
Addresses
Primary practice location
4003 Bridge St
Fair Oaks, CA 95628-7503
Mailing address
548 Market St
# 48710
San Francisco, CA 94104-5401
Phone (916) 534-1234
Other practice location 1
6501 Coyle Ave
Attention: Medical Staff Office
Carmichael, CA 95608-0306
Phone (916) 537-5000
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
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Harvard Medical School, 1992
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4003 Bridge St
Fair Oaks, CA 95628-7503
Phone (916) 534-1234
548 Market St
Suite 48710
San Francisco, CA 94104-5401
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G86829 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goradia Medical Corporation | Neurological Surgery | Current | Accepting new patients |
| Goradia Medical Corporation | Current | Accepting new patients | |
| Emergency and Acute Care Medical Corporation | Past | Accepting new patients |
Locations
6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000
6501 Coyle Ave
Ofc
Carmichael, CA 95608
Phone (916) 537-5000
4003 Bridge St
Fair Oaks, CA 95628
Phone (916) 534-1234
548 Market St
San Francisco, CA 94104
Phone (415) 275-1838
Organizations & group practices 3
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.
-
- Specialist
- Carmichael, CA
- NPI 1689782484
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1437103942
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy San Juan Medical Center
- General Acute Care Hospital
- Carmichael, CA
- NPI 1972541498
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619905007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 MARKET ST",
"address_2": "# 48710",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941045401",
"telephone_number": "916-534-1234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4003 BRIDGE ST",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287503",
"telephone_number": "916-534-1234"
}
],
"practiceLocations": [
{
"address_1": "6501 Coyle Ave",
"address_2": "Attention: Medical Staff Office",
"address_purpose": "LOCATION",
"city": "Carmichael",
"state": "CA",
"postal_code": "956080306",
"country_code": "US",
"telephone_number": "916-537-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GORADIA",
"first_name": "TUSHAR",
"name_prefix": "Mr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G86829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.