Active NPI
Praful Sarode, M.D.
- Pediatrics Physician
- Santa Ana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A43383
- Practice address
- 999 N Tustin Ave
Suite # 124
Santa Ana, CA 92705-3528 - Phone
- (714) 547-5444
- NPI assigned
- Oct 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A43383 | CA | |
| Family Medicine Physician | 207Q00000X | 31704 | AZ | |
| Pediatrics Physician | 208000000X | A43383 | CA | Primary |
| Pediatrics Physician | 208000000X | 31704 | AZ | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | A43383 | CA | |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 31704 | AZ | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | A43383 | CA | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 31704 | AZ | |
| Pediatric Pulmonology Physician | 2080P0214X | A43383 | CA | |
| Pediatric Pulmonology Physician | 2080P0214X | 31704 | AZ | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | A43383 | CA | |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | 31704 | AZ | |
| Hospitalist Physician | 208M00000X | A43383 | CA | |
| Hospitalist Physician | 208M00000X | 31704 | AZ |
Addresses
Primary practice location
999 N Tustin Ave
Suite # 124
Santa Ana, CA 92705-3528
Mailing address
999 N Tustin Ave
Suite # 124
Santa Ana, CA 92705-3528
Phone (714) 547-5444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A433834 | Medicaid | CA |
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
- Pediatric Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
999 N Tustin Ave
Suite 124
Santa Ana, CA 92705-6505
Phone (714) 547-5444
Hospital & facility affiliations
- Uci Health-Orange
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31704 | AZ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Praful Sarode MD Inc | Family Medicine | Current | Accepting new patients |
| Providence Medical Foundation | Family Medicine | Past | Accepting new patients |
Locations
17456 Beach Blvd
Ste 101
Huntington Beach, CA 92647
Phone (714) 847-8551
17456 Beach Blvd
#101
Huntington Beach, CA 92647
Phone (714) 847-8551
999 N Tustin Ave
Ste 124
Santa Ana, CA 92705
Phone (714) 547-5444
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- psarodemd17708@direct.memorialcare.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200182400000",
"number": "1669560231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 N TUSTIN AVE",
"address_2": "SUITE # 124",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053528",
"telephone_number": "714-547-5444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 N TUSTIN AVE",
"address_2": "SUITE # 124",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053528",
"telephone_number": "714-547-5444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARODE",
"first_name": "PRAFUL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2008-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A43383",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "31704",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A43383",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "31704",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "CA",
"license": "A43383",
"primary": false
},
{
"code": "2080N0001X",
"taxonomy_group": "",
"desc": "Pediatrics, Neonatal-Perinatal Medicine",
"state": "AZ",
"license": "31704",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "CA",
"license": "A43383",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "AZ",
"license": "31704",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "CA",
"license": "A43383",
"primary": false
},
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "AZ",
"license": "31704",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "CA",
"license": "A43383",
"primary": false
},
{
"code": "2083P0011X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": "AZ",
"license": "31704",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A43383",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "31704",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A433834",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2008; 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.