Individual provider Active NPI

Vishaka Raguveer, MD

  • Family Medicine Physician
  • San Diego, CA
National Provider Identifier
1740609387
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A172736 Issued in CA
Practice address
9995 Carmel Mountain Rd Ste B10-11
San Diego, CA 92129-2889
Phone
(844) 200-2426
NPI assigned
Apr 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 A172736 CA Primary

Addresses

Primary practice location

9995 Carmel Mountain Rd Ste B10-11
San Diego, CA 92129-2889

Mailing address

637 3Rd Ave
Chula Vista, CA 91910-5707
Phone (844) 200-2426

Other practice location 1

10737 Camino Ruiz
San Diego, CA 92126-2359
Phone (844) 200-2426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170913001474 WA Practitioner - Family Practice 4385935261 Reassigns benefits to 2 organizations
I20230323001836 CA Practitioner - Family Practice 4385935261 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A172736CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Live Life Now Health Group PA Family Medicine CurrentSince Nov 1, 2021 Accepting new patients
Operation Samahan, Inc. Current Accepting new patients
Providence Health & Services Washington Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Operation Samahan, Inc CurrentSince Nov 9, 2022 Accepting new patients
Operation Samahan, Inc. Past Accepting new patients
Operation Samahan, Inc. PastSince Jul 22, 2025 Accepting new patients

Locations

1428 Highland Ave
National City, CA 91950
Phone (619) 245-1707

2835 Highland Ave
Ste A
National City, CA 91950
Phone (618) 474-5567

10737 Camino Ruiz
Ste 235
San Diego, CA 92126
Phone (858) 578-4220

9995 Carmel Mountain Rd
Ste B1011
San Diego, CA 92129

9995 Carmel Mountain Rd
Ste B10
San Diego, CA 92129

350 7th Ave
Rm 600
New York, NY 10001

525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550

1455 NW Leary Way
Ste 400
Seattle, WA 98107
Phone (206) 202-8506

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: vishaka.raguveer@opsam.eclinicaldirectplus.com

Organizations & group practices 6

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1740609387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 3RD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105707",
            "telephone_number": "844-200-2426",
            "fax_number": "619-356-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 CARMEL MOUNTAIN RD STE B10-11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921292889",
            "telephone_number": "844-200-2426"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10737 Camino Ruiz",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921262359",
            "country_code": "US",
            "telephone_number": "844-200-2426",
            "fax_number": "619-474-4008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAGUVEER",
        "first_name": "VISHAKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A172736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.