Sanjay S Rao MD a Medical Corporation Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A92683 Issued in CA

Legal business name

SANJAY S RAO MD A MEDICAL CORPORATION INC.

Practice address

5555 Grossmont Center Dr
Sharp Grossmont Hospital
La Mesa, CA 91942-3019

Phone

(619) 740-4800

Fax

(877) 588-7226

NPI assigned

Apr 27, 2012

Organization subpart

No

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

Authorized official

Name

Sanjay S Rao, MDNPI 1407994288

Title

Owner

Phone

(619) 740-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanjay Sarikonda Rao, M.D.

  • Psychiatry Physician
  • La Mesa, CA
  • NPI 1407994288
  Medicare reassignment Care Compare group Authorized official
• Emma Rose Holbrook

  • Physician Assistant
  • La Mesa, CA
  • NPI 1255087102
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614124800000",
    "number": "1700144680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 511353",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900517908",
            "telephone_number": "866-284-2771",
            "fax_number": "800-334-1041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "address_2": "SHARP GROSSMONT HOSPITAL",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-740-4800",
            "fax_number": "877-588-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANJAY S RAO MD A MEDICAL CORPORATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A",
        "authorized_official_last_name": "RAO",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-740-4800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A92683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A92683",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Malia Sandison, ND
• Janis K Sandlin, PA-C
• Elva Vanessa Sandoval
• Rebeca Sandoval, MD
• Ajmel S Sangha, M.D.
• Stephanie Sankey, N.P.
• Paolo Andrew Sanque, PT, DPT
• Chelsea Tara Sanscartier, PT
• Jenna Faith Sant-Wing, B.C.B.A.
• Nora Alicia Santiago

• Psychiatry Physician in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.