Individual provider Active NPI

Rina Kadakia, MD

  • Family Medicine Physician
  • Redwood City, CA
National Provider Identifier
1700946332
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A94910 Issued in CA
Practice address
290 Redwood Shores Pkwy
Redwood City, CA 94065-1173
Phone
(209) 603-8524
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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 A94910 CA Primary

Addresses

Primary practice location

290 Redwood Shores Pkwy
Redwood City, CA 94065-1173

Mailing address

320 Redwood Shores Parkway
Redwood City, CA 94065
Phone (209) 603-8524

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
I20070517000401 CA Practitioner - Family Practice 0941307433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family and Industrial Medical Center IncGroup PAC ID 1759318256, 9 clinicians

Practice addresses (Care Compare)

47 Santa Rosa St
San Luis Obispo, CA 93405-1811
Phone (805) 542-9596

Hospital & facility affiliations

  • French Hospital Medical Center Hospital, San Luis Obispo, CA, CCN 050232
  • Marian Regional Medical Center Hospital, Santa Maria, CA, CCN 050107
  • Adventist Health Sierra Vista Hospital, San Luis Obispo, CA, CCN 050506

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A94910CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Industrial Medical Center, Inc. Family Medicine CurrentSince Sep 26, 2020 Accepting new patients

Locations

47 Santa Rosa St
Sn Luis Obisp, CA 93405
Phone (805) 542-9596

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/13850/brand/1/csg/1/fhir/r4
  • Direct secure messaging: rina.kadakia.1@13850.direct.athenahealth.com

Organizations & group practices 1

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 3

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304640000000",
    "number": "1700946332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 REDWOOD SHORES PARKWAY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "94065",
            "telephone_number": "209-603-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 REDWOOD SHORES PKWY",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940651173",
            "telephone_number": "209-603-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAKIA",
        "first_name": "RINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

Verify at the official NPI Registry.