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DR. AMRITA MANGLESH DESAI MD
NPI 1396430195
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since April 07, 2023PECOS EnrolledAccepts Medicare Assignment
1400 FLORIDA AVE STE 102, MODESTO, CA 95350(209) 573-6147 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Amrita Manglesh Desai Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. AMRITA MANGLESH DESAI MD (NPI 1396430195) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1396430195
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. AMRITA MANGLESH DESAICredential: MD
Location Address1400 FLORIDA AVE STE 102Modesto, CA 95350-4446
Mailing Address1400 Florida Ave Ste 102Modesto, CA 95350-4446 · (209) 573-6147
Phone(209) 573-6147
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 7, 2023
Last NPPES UpdateFebruary 19, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1396430195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 12499 (CA)
1400 FLORIDA AVE STE 102, Modesto, CA 95350
Open in Google Maps ↗

Other Identifiers 1

Other12499CA · Ptl

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Amrita Manglesh Desai Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103342415
PECOS Enrollment IDI20250430000386
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amrita Desai reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Golden Valley Health Center
0.1 mi
Federally Qualified Health Center (FQHC)
208 W. COOLIDGE AVE.
Modesto, CA 95350
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Golden Valley Health Centers
  • 440 clinicians in this Medicare group
NPI 1427717644 (866) 682-4842

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELAINE H WONG MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
RAJESH SUPRA
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
ANDERS E GRANT MD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 722-4842
VENUS SHABGAHI MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
MR. ALEXIS PAUL ISAEV DO
Clinic/Center (Research)
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
TAJINDER SINGH DO
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
PETER VIET-QUOC MAI MD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (714) 623-4459
CARMEN CASTILLO MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amrita Desai's NPI number?

The NPI number for Amrita Desai is 1396430195. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Amrita Desai located?

Amrita Desai practices at 1400 Florida Ave Ste 102, Modesto, CA 95350. The listed phone number is (209) 573-6147.

What is Amrita Desai's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amrita Desai enrolled in Medicare?

Yes. Amrita Desai is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Amrita Desai's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amrita Desai reassigns Medicare benefits to Golden Valley Health Center (Modesto, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amrita Desai's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amrita Desai was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.