Individual provider Active NPI

Arun Kumar Vasudeva, MD

  • Hospitalist Physician
  • Elk Grove, CA
National Provider Identifier
1629019039
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A50493 Issued in CA
Practice address
9260 Laguna Springs Dr
Suite 302
Elk Grove, CA 95758-7947
Phone
(916) 216-4743
NPI assigned
Jun 8, 2006
Last updated
Sep 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50493 CA
Hospitalist Physician 208M00000X A50493 CA Primary

Addresses

Primary practice location

9260 Laguna Springs Dr
Suite 302
Elk Grove, CA 95758-7947

Mailing address

731 E Yosemite Ave
Ste. B, #411
Merced, CA 95340-8039

Other identifiers 1

IdentifierTypeStateIssuer
00A504931MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE)

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
I20031103000399 CA Practitioner - HospitalistPractitioner - Internal Medicine 8729990346 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50493CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Internal Medicine CurrentSince Jul 11, 2022 Accepting new patients
Galen Inpatient Physicians PC Hospitalist CurrentSince May 1, 2022 Accepting new patients
Permanente Medical Group, Inc CurrentSince Jul 11, 2022 Accepting new patients
Galen Inpatient Physicians, PC Hospitalist Current Accepting new patients
Merced Hospitalist Medical Group, Inc. Internal Medicine CurrentSince Nov 30, 2012 Accepting new patients
Hospitalists of Modesto Medical Group Inc Internal Medicine CurrentSince Oct 15, 2011 Accepting new patients
Galen Inpatient Physicians Inc Internal Medicine CurrentSince May 1, 2022 Accepting new patients
Gold Country Emergency Physicians Medical Group Inc Hospitalist Past Accepting new patients
West Coast Hospitalists PC Internal Medicine Past Accepting new patients

Locations

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

1375 University St
Healdsburg, CA 95448
Phone (707) 385-2025

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

Organizations & group practices 9

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1629019039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E YOSEMITE AVE",
            "address_2": "STE. B, #411",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 LAGUNA SPRINGS DR",
            "address_2": "SUITE 302",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587947",
            "telephone_number": "916-216-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASUDEVA",
        "first_name": "ARUN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50493",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A50493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A504931",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "7373 West Ln",
            "city": "Stockton",
            "state": "CA",
            "country_code": "US",
            "postal_code": "952103377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

Verify at the official NPI Registry.