Individual provider Active NPI

Deepti Saxena, MD

  • Family Medicine Physician
  • Redlands, CA
National Provider Identifier
1669494118
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A81382 Issued in CA
Practice address
1752 E Lugonia Ave Ste 117-1130
Redlands, CA 92374-2730
Phone
(510) 790-2116
Fax
(510) 344-8972
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A81382 CA Primary

Addresses

Primary practice location

1752 E Lugonia Ave Ste 117-1130
Redlands, CA 92374-2730

Mailing address

1811 Montecito LN
Redlands, CA 92374-7626
Phone (510) 229-9738

Other identifiers 2

IdentifierTypeStateIssuer
00A813820OtherCABLUE SHIELD OF CA PIN
00A813820MedicaidCA

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
I20050601000324 CA Practitioner - Family Practice 4789626698 Reassigns benefits to 1 organization
Practice locations: Fremont, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Department of State Hospitals CurrentSince Jun 11, 2021 Accepting new patients
Department of State Hospitals CurrentSince Jun 11, 2021 Accepting new patients
Department of State Hospitals Current Accepting new patients
Aveda Integrative Medical Center Inc Past Accepting new patients
Deepti Saxena MD Inc Family Medicine Past Accepting new patients

Locations

3102 E Highland Ave
Patton, CA 92369
Phone (909) 425-7000

1215 O St
#3
Sacramento, CA 95814
Phone (916) 651-2805

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1669494118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 MONTECITO LN",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923747626",
            "telephone_number": "510-229-9738",
            "fax_number": "510-344-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1752 E LUGONIA AVE STE 117-1130",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742730",
            "telephone_number": "510-790-2116",
            "fax_number": "510-344-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAXENA",
        "first_name": "DEEPTI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2025-07-01",
        "certification_date": "2025-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A81382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA PIN",
            "identifier": "00A813820",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A813820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.