Individual provider Active NPI

Rupal Desai, MD

  • Pediatrics Physician
  • Watsonville, CA
National Provider Identifier
1992750053
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A82877 Issued in CA
Practice address
45 Neilson St
Watsonville, CA 95076-2468
Phone
(831) 728-0222
Fax
(831) 707-2777
NPI assigned
May 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A82877 CA Primary

Addresses

Primary practice location

45 Neilson St
Watsonville, CA 95076-2468

Mailing address

PO Box 1870
Watsonville, CA 95077-1870
Phone (831) 728-0222

Other practice location 1

1642 E Capitol Expy
San Jose, CA 95121-1800
Phone (408) 445-3431

Other practice location 2

2039 Forest Ave Ste 105
San Jose, CA 95128-4815
Phone (408) 947-2929

Other practice location 3

1333 Meridian Ave
San Jose, CA 95125-5212
Phone (408) 947-2929

Other practice location 4

455 OConnor Dr Ste 200
San Jose, CA 95128-1632
Phone (408) 283-7676

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
I20100617000205 CA Practitioner - Pediatric Medicine 0244240604 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Health Center of Santa Clara Valley CurrentSince Feb 1, 2024 Accepting new patients
Indian Health Center of Santa Clara Valley CurrentSince Feb 1, 2024 Accepting new patients
Indian Health Center of Santa Clara Valley Current Accepting new patients

Locations

455 Oconnor Dr
Ste 200
San Jose, CA 95128
Phone (408) 283-7666

1642 E Capitol Expy
San Jose, CA 95121
Phone (408) 270-0112

1333 Meridian Ave
San Jose, CA 95125

Organizations & group practices 3

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1992750053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1870",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950771870",
            "telephone_number": "831-728-0222",
            "fax_number": "831-707-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NEILSON ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762468",
            "telephone_number": "831-728-0222",
            "fax_number": "831-707-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1642 E Capitol Expy",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951211800",
            "country_code": "US",
            "telephone_number": "408-445-3431",
            "fax_number": "408-238-3874",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2039 Forest Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951284815",
            "country_code": "US",
            "telephone_number": "408-947-2929",
            "fax_number": "408-283-7720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 Meridian Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951255212",
            "country_code": "US",
            "telephone_number": "408-947-2929",
            "fax_number": "408-283-7720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 OConnor Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951281632",
            "country_code": "US",
            "telephone_number": "408-283-7676",
            "fax_number": "408-283-7646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESAI",
        "first_name": "RUPAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A82877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsonville, CA

Sources for this page

Verify at the official NPI Registry.