Organization Active NPI

Shailesh M Asaikar MD Inc

  • Neurology with Special Qualifications in Child Neurology Physician
  • Sacramento, CA
National Provider Identifier
1952468258
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
SHAILESH M ASAIKAR MD INC
Practice address
1 Scripps Dr Ste 303
Sacramento, CA 95825-6206
Phone
(916) 649-9800
Fax
(916) 649-9801
NPI assigned
Jan 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

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

Authorized official

Name
Vandana Asaikar
Title
Office Manager
Phone
(916) 649-9800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0008X
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0402X Primary

Addresses

Primary practice location

1 Scripps Dr Ste 303
Sacramento, CA 95825-6206

Mailing address

1 Scripps Dr Ste 303
Sacramento, CA 95825-6206
Phone (916) 649-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081212000077 CA Part B Supplier - Clinic/Group Practice 7719048412 Receives reassigned benefits from 1 practitioner
Practice locations: Sacramento, CA

National Provider Directory

National Provider Directory

Locations

1111 Exposition Blvd
#102
Sacramento, CA 95815

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1952468258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SCRIPPS DR STE 303",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256206",
            "telephone_number": "916-649-9800",
            "fax_number": "916-649-9801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCRIPPS DR STE 303",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256206",
            "telephone_number": "916-649-9800",
            "fax_number": "916-649-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAILESH M ASAIKAR MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2022-08-24",
        "certification_date": "2021-05-12",
        "status": "A",
        "authorized_official_last_name": "ASAIKAR",
        "authorized_official_first_name": "VANDANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "916-649-9800"
    },
    "taxonomies": [
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.