RAJESH J KADAKIA M D A MEDICAL CORPORATION NPI 1639268139

NPI Information

NPI: 1639268139
Provider Name: RAJESH J KADAKIA M D A MEDICAL CORPORATION
Classification: Emergency Medicine - 207PE0004X
Specialization: Emergency Medical Services
Entity Type: Organization
Doing Business As: SAN CLEMENTE MEDI CENTER
Address: 910 S EL CAMINO REAL
SAN CLEMENTE, CA
ZIP 92672
Phone: (949) 492-4994

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NPI Details

RAJESH J KADAKIA M D A MEDICAL CORPORATION is an emergency medical services emergency medicine in San Clemente, CA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. RAJESH J KADAKIA M D A MEDICAL CORPORATION NPI is 1639268139. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As San Clemente Medi Center.

The provider's business location address is:

910 S EL CAMINO REAL
SAN CLEMENTE, CA
ZIP 92672-279
Phone: (949) 492-4994
Fax: (949) 492-8517

The provider's authorized official is Rajesh J Kadakia .
The authorized official title is Owner President and has the following contact phone number (949) 492-4994.

The enumeration date for this NPI number is 10/12/2006 and was last updated on 3/25/2010.

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	Primary
1	207QA0000X	Family Medicine	Adolescent Medicine	No
2	207QA0401X	Family Medicine	Addiction Medicine	No
3	207PE0004X	Emergency Medicine	Emergency Medical Services	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	E50885	MEDICARE UPIN
2	W13445	MEDICARE PIN	CALIFORNIA

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: 3/30/2025

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