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

Active since April 07, 2023PECOS Enrolled
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: July 26, 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.

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
Sole ProprietorNo
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

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

Other Identifiers 1

Other12499CA · Ptl

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Amrita Manglesh Desai Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Clinic/Center (Research)
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Amrita Desai was last updated on February 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.