Individual provider Active NPI

Sangita Deveshwar, M.D.

  • Cardiovascular Disease Physician
  • Palm Springs, CA
National Provider Identifier
1710055256
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036126640 Issued in IL
Practice address
1180 N Indian Canyon Dr Ste E319
Palm Springs, CA 92262-4809
Phone
(760) 325-1203
Fax
(760) 325-5485
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 036126640 IL Primary

Addresses

Primary practice location

1180 N Indian Canyon Dr Ste E319
Palm Springs, CA 92262-4809

Mailing address

1180 N Indian Canyon Dr Ste E319
Palm Springs, CA 92262-4809
Phone (760) 325-1203

Other practice location 1

2350 N. Rockton Ave, Heart and Vascular Center
Rockford Health Physicians
Rockford, IL 61103-3600
Phone (815) 971-2000

Other identifiers 4

IdentifierTypeStateIssuer
060H264410OtherBLUE CROSS-BLUE CROSS
347395110MedicaidMI
SD065537OtherCHAMPUS-CHAMPUS
SD065537OtherCOMMERCIAL-COMMERCIAL NUMBER

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address sdeveshwar1754103@oc.providencedirect.org
Direct Messaging Address sdeveshwar1754103@oc.providencedirect.org
Direct Messaging Address sdeveshwar1754103@oc.providencedirect.org
Direct Messaging Address sdeveshwar1754103@oc.providencedirect.org

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
I20200319000503 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5698801769 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeside Medical Organization a Medical Group IncGroup PAC ID 7618005166, 64 clinicians

Practice addresses (Care Compare)

191 S Buena Vista St
Suite 400
Burbank, CA 91505-4543
Phone (818) 848-0023

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Medical Organization, a Medical Group Inc. Cardiovascular Disease CurrentSince Sep 26, 2023 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation CurrentSince Jun 7, 2021 Accepting new patients
Providence Medical Foundation CurrentSince Jun 7, 2021 Accepting new patients
Emergency Associates Corporation CurrentSince Jul 1, 2020 Accepting new patients
Desert Heart Physicians Medical Group, Inc. Cardiovascular Disease CurrentSince Apr 1, 2020 Accepting new patients
Desert Heart Physicians Medical Group, Inc. Cardiovascular Disease CurrentSince Apr 1, 2020 Accepting new patients
Rockford Memorial Hospital Past Accepting new patients
Lakeside Medical Associates, a Medical Group, Inc. Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Henry Ford Macomb Hospital Corporation Past Accepting new patients

Locations

191 S Buena Vista St
Ste 200
Burbank, CA 91505
Phone (818) 887-2671

191 S Buena Vista St
Ste 400
Burbank, CA 91505
Phone (818) 818-0023

1200 Marshall St
Crescent City, CA 95531
Phone (707) 465-1126

2332 23rd St
Eureka, CA 95501
Phone (707) 444-2819

2773 Harris St
Ste A
Eureka, CA 95503
Phone (707) 442-1182

3304 Renner Dr
Fortuna, CA 95540
Phone (707) 725-4477

8510 Balboa Blvd
Ste 150
Northridge, CA 91325
Phone (818) 637-2000

41990 Cook St
Ste 601
Palm Desert, CA 92211
Phone (760) 360-4446

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

1180 N Indian Canyon Dr
Ste E319
Palm Springs, CA 92262
Phone (700) 325-1203

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: sangita.deveshwar.p1@direct.lakeside.nextgenshare.com
  • Direct secure messaging: sdeveshwar1754103@oc.providencedirect.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1710055256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E319",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624809",
            "telephone_number": "760-325-1203",
            "fax_number": "760-325-5485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E319",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624809",
            "telephone_number": "760-325-1203",
            "fax_number": "760-325-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 N. Rockton Ave, Heart and Vascular Center",
            "address_2": "Rockford Health Physicians",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611033600",
            "country_code": "US",
            "telephone_number": "815-971-2000",
            "fax_number": "815-971-9097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVESHWAR",
        "first_name": "SANGITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036126640",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "060H264410",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347395110",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "SD065537",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "SD065537",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdeveshwar1754103@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "1200 Marshall St",
            "city": "Crescent City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955312217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdeveshwar1754103@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2332 23rd St",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955013231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdeveshwar1754103@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "2773 Harris St Ste A",
            "city": "Eureka",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955034866",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdeveshwar1754103@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "3304 Renner Dr",
            "city": "Fortuna",
            "state": "CA",
            "country_code": "US",
            "postal_code": "955407102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.