Individual provider Active NPI

Sudha K Rao, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Gatos, CA
National Provider Identifier
1942295340
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A54908 Issued in CA
Practice address
815 Pollard Rd
Los Gatos, CA 95032-1438
Phone
(408) 866-4060
Fax
(408) 866-3819
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A54908 CA Primary

Addresses

Primary practice location

815 Pollard Rd
Los Gatos, CA 95032-1438

Mailing address

PO Box 2311
Chatsworth, CA 91313-2311
Phone (818) 718-9500

Other identifiers 1

IdentifierTypeStateIssuer
00A549080MedicaidCA

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
I20041122000844 CA Practitioner - Pathology 2466417142 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2489 Martinsburg Pike
Lot A1
Stephenson, VA 22656-1790

420 Arboleda Dr
Los Altos, CA 94024-4110

Hospital & facility affiliations

  • Ahmc Seton Medical Center Hospital, Daly City, CA, CCN 050289

Merit-based Incentive Payment System (MIPS)

Final score
62.5 of 100Reported as group
Quality
15
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A54908CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Pathology Medical Associates Anatomic Pathology & Clinical Pathology CurrentSince Oct 1, 2023 Accepting new patients
Permanente Medical Group Inc Anatomic Pathology & Clinical Pathology CurrentSince May 10, 2014 Accepting new patients
Permanente Medical Group, Inc CurrentSince May 10, 2014 Accepting new patients
Contra Costa Pathology Associates Anatomic Pathology & Clinical Pathology Current Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
Bay Area Pathology Group Past Accepting new patients
San Jose Pathology Medical Group Inc Anatomic Pathology & Clinical Pathology Past Accepting new patients
Los Gatos Pathology Group Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1322 White Oaks Rd
Campbell, CA 95008
Phone (408) 861-0499

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 8

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 2

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282003200000",
    "number": "1942295340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2311",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913132311",
            "telephone_number": "818-718-9500",
            "fax_number": "818-718-9507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 POLLARD RD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950321438",
            "telephone_number": "408-866-4060",
            "fax_number": "408-866-3819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "SUDHA",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A54908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A549080",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.