Sacho Rade Kondovski, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6077 Issued in CA

Practice address

28780 Single Oak Dr
Suite 160
Temecula, CA 92590-3625

Phone

(951) 676-4193

Fax

(951) 719-1469

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sacho.kondovski@49412312072196.direct.elationemr.com
• Direct secure messaging: sacho.kondovski.p1@direct.lakeside.nextgenshare.com
• Direct secure messaging: sacho.kondovski.p5@direct.mydohc.nextgenshare.com

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.

• Coachella Valley Care Medical Associates Inc

  • Family Medicine Physician
  • Indio, CA
  • NPI 1811319890
  Medicare reassignment NPD
• Desert Medical Group, Inc.

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114918612
  Medicare reassignment NPD
• Lakeside Medical Organization, a Medical Group Inc.

  • Internal Medicine Physician
  • West Hills, CA
  • NPI 1831426642

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1780678706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 MARSHALL WAY",
            "address_2": "STE 100,201,202,203",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675722",
            "telephone_number": "530-626-2920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28780 SINGLE OAK DR",
            "address_2": "SUITE 160",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903625",
            "telephone_number": "951-676-4193",
            "fax_number": "951-719-1469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONDOVSKI",
        "first_name": "SACHO",
        "middle_name": "RADE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "20A6077",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Kohanghadosh, DDS
• Koinonia Foster Homes, Inc.
• Annie Koirala, NP
• Natalie Claire Kolb
• Sruthi Kondakindi, DDS
• Johnny Heejoon Koo, DDS
• Janet Okyerewaah Koomson, LVN
• Melanie A Koperovskiy
• Tara Korbal, MD
• Brenda Rose Koreerat

• Family Medicine Physician in Temecula, CA
• Providers in Temecula, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.