Individual provider Active NPI

Tushar Goradia, M.D., PH.D.

  • Neurological Surgery Physician
  • Fair Oaks, CA
National Provider Identifier
1619905007
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G86829 Issued in CA
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040913000773 CA Practitioner - Neurosurgery 2668449331 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
G86829CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Goradia Medical Corporation Neurological Surgery CurrentSince Jan 1, 1990 Accepting new patients
Goradia Medical Corporation CurrentSince Jul 12, 2004 Accepting new patients
Emergency and Acute Care Medical Corporation PastSince Jan 14, 2024 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.