Individual provider Active NPI

Sasirekha Pandravada, DO

  • Internal Medicine Physician
  • San Diego, CA
National Provider Identifier
1962030254
Registry record updated Oct 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125.076647 Issued in IL
Practice address
7901 Frost St
San Diego, CA 92123-2701
Phone
(858) 939-3400
Fax
(760) 705-1533
NPI assigned
Mar 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.076647 IL Primary

Addresses

Primary practice location

7901 Frost St
San Diego, CA 92123-2701

Mailing address

8695 Spectrum Center Blvd
San Diego, CA 92123-1489
Phone (858) 541-0181

Other practice location 1

1743 S Sidewinder Drive Unit 114
Park City, UT 84060
Phone (307) 840-9834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO, UT3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230915002254 CA Practitioner - Internal Medicine 1052775582 Reassigns benefits to 2 organizations
I20240520003381 CO Practitioner - Internal Medicine 1052775582 Reassigns benefits to 1 organization
I20241227002250 UT Practitioner - Internal Medicine 1052775582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focus on Health IncGroup PAC ID 0648624254, 63 clinicians
Emergency and Acute Care Medical CorporationGroup PAC ID 9537108279, 431 clinicians

Practice addresses (Care Compare)

7901 Frost St
San Diego, CA 92123-2701
Phone (858) 939-3400

Hospital & facility affiliations

  • Sharp Memorial Hospital Hospital, San Diego, CA, CCN 050100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21057CAMDClinical Neuropsychologist
125.076647ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency and Acute Care Medical Corporation CurrentSince Aug 30, 2023 Accepting new patients
Focus on Health Inc CurrentSince Mar 1, 2024 Accepting new patients
San Diego Hospitalist Associates Inc CurrentSince Sep 15, 2023 Accepting new patients
Emerald Medical Practice PC CurrentSince Apr 7, 2024 Accepting new patients
Cloud Health Medical Group, P.a. Internal Medicine Past Accepting new patients
Cloud Health Medical Group of California, P.C. Internal Medicine Past Accepting new patients

Locations

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

8695 Spectrum Center Ct
San Diego, CA 92123
Phone (858) 499-3025

8765 Aero Dr
Ste 130
San Diego, CA 92123
Phone (858) 541-0181

710 Lakeway Dr
Ste 200
Sunnyvale, CA 94085
Phone (408) 372-6205

4770 Baseline Rd
Ste 200
Boulder, CO 80303
Phone (307) 840-9834

1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233

289 S Culver St
Lawrenceville, GA 30046
Phone (404) 891-9833

801 Adlai Stevenson Dr
Springfield, IL 62703
Phone 4153603833 ext. 03833

475 Hillside Ave
Ste 4
Needham Hgts, MA 02494

3410 Belle Chase Way
Ste 600
Lansing, MI 48911
Phone (517) 999-9020

100 Charles Ewing Blvd
Ste 160
Trenton, NJ 08628
Phone (212) 878-7685

10 W 37th St
Fl 5
New York, NY 10018
Phone (929) 296-1624

1160 Dublin Rd
Ste 400
Columbus, OH 43215
Phone (502) 439-2617

211 E 7th St
Ste 620
Austin, TX 78701
Phone (415) 742-8411

1743 Sidewinder Dr
Unit 114
Park City, UT 84060
Phone (307) 840-9834

808 Greenbrier St
Charleston, WV 25311

1821 Logan Ave
Cheyenne, WY 82001

Interoperability endpoints

  • Direct secure messaging: spandravada65315@sharphealthcare.direct-ci.com
  • Direct secure messaging: sasirekha.pandravada.2@30093.direct.athenahealth.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.

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": "1585612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1962030254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8695 SPECTRUM CENTER BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231489",
            "telephone_number": "858-541-0181",
            "fax_number": "760-705-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 FROST ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232701",
            "telephone_number": "858-939-3400",
            "fax_number": "760-705-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1743 S Sidewinder Drive Unit 114",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "84060",
            "country_code": "US",
            "telephone_number": "307-840-9834",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANDRAVADA",
        "first_name": "SASIREKHA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-31",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.076647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.