| Sanjay S Rao Md A Medical Corporation Inc. | |
|
5555 Grossmont Center Dr Sharp Grossmont Hospital La Mesa CA 91942-3019 | |
| (619) 740-4800 | |
| (877) 588-7226 |
| Full Name | Sanjay S Rao Md A Medical Corporation Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5555 Grossmont Center Dr, La Mesa, California |
| Authorized Official Name and Position | Sanjay S Rao (OWNER) |
| Authorized Official Contact | 6197404800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjay S Rao Md A Medical Corporation Inc. Po Box 511353 Los Angeles CA 90051-7908 Ph: (866) 284-2771 | Sanjay S Rao Md A Medical Corporation Inc. 5555 Grossmont Center Dr Sharp Grossmont Hospital La Mesa CA 91942-3019 Ph: (619) 740-4800 |
| NPI Number | 1700144680 |
|---|---|
| Provider Enumeration Date | 04/27/2012 |
| Last Update Date | 02/24/2021 |
| Certification Date | 02/24/2021 |
| Medicare PECOS PAC ID | 4284961566 |
|---|---|
| Medicare Enrollment ID | O20190808002925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700144680 | NPI | - | NPPES |
| A92683 | Other | CA | MEDICAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A92683 (California) | Primary |
| Provider Name | Sanjay Sarikonda Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407994288 PECOS PAC ID: 7719070986 Enrollment ID: I20070904000326 |
| Provider Name | Katherine Rose Lais |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972929404 PECOS PAC ID: 5890099238 Enrollment ID: I20160205000942 |
| Provider Name | Kristin Marie Lulich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942574967 PECOS PAC ID: 5799115911 Enrollment ID: I20200430000609 |
| Provider Name | Kirsten Jane Kuhn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477174399 PECOS PAC ID: 6406278357 Enrollment ID: I20200622002824 |
| Provider Name | Simone Narges Borghei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871159673 PECOS PAC ID: 6507255528 Enrollment ID: I20211112002169 |
| Provider Name | Romilynn Danko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205239134 PECOS PAC ID: 8224406327 Enrollment ID: I20221121003382 |
Not Applicable Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7050 Parkway Dr, La Mesa, CA 91942 Phone: 619-291-6040 Fax: 858-453-6149 | |
La Mesa Counseing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8058 La Mesa Blvd, La Mesa, CA 91942 Phone: 858-848-1766 | |
Mobile Neurology Of San Diego Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8851 Center Dr, Suite 603, La Mesa, CA 91942 Phone: 619-667-4545 | |
A New Path Psychotherapy, Apc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4323 Palm Ave Ste A, La Mesa, CA 91941 Phone: 619-315-8909 | |
Open Mind Mental Health Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5241 Alzeda Dr, La Mesa, CA 91941 Phone: 619-940-0042 | |
Counseling & Behavioral Specialists, Afcc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9029 Park Plaza Dr, Suite #101, La Mesa, CA 91942 Phone: 619-697-0470 Fax: 619-697-0505 | |
Listening Post Counseling And Consulting Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8900 Grossmont Blvd # 4-3, La Mesa, CA 91941 Phone: 858-380-7691 |