PRAJAKTA DESHPANDE MD NPI 1760576094

NPI Information

NPI: 1760576094
Provider Name: PRAJAKTA DESHPANDE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: UNIVERSITY OF CALIFORNIA IRVINE

PECOS Registration: Yes

Address:
1140 W. LA VETA AVE.
SUITE 700
ORANGE, CA
ZIP 92868
Phone: (714) 547-5404
Get Directions

Prajakta Deshpande, MD is a family medicine in Orange, CA with 29 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Prajakta Deshpande, MD NPI is 1760576094. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1140 W. LA VETA AVE.
SUITE 700
ORANGE, CA
ZIP 92868-229
Phone: (714) 547-5404
Fax: (714) 547-0935

The NPI 1760576094 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/3/2006 and was last updated on 11/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		MD00042638	WASHINGTON	No
2	207Q00000X	Family Medicine		C133444	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	I03265	MEDICARE OSCAR/CERTIFICATION	WASHINGTON
2	0224597	OTHER	WASHINGTON	LABOR AND INDUSTRIES
3	8386849	MEDICAID	WASHINGTON
4	8868202	MEDICARE PIN	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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