RAJIV SUPRA
NPI 1457051757
Student in an Organized Health Care Education/Training Program in Pittsburg, CA

Active since March 06, 2023
2800 ROMORA BAY DR, PITTSBURG, CA 94565(925) 705-0235 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rajiv Supra NPPES

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

RAJIV SUPRA (NPI 1457051757) is an individual student in an organized health care education/training program in Pittsburg, California and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1457051757
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAJIV SUPRA
Location Address2800 ROMORA BAY DRPittsburg, CA 94565-7921
Mailing Address2800 Romora Bay DrPittsburg, CA 94565-7921 · (925) 705-0235
Sole ProprietorNo
Enumeration DateMarch 6, 2023
NPPES CertifiedMarch 6, 2023
NPI 1457051757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
2800 ROMORA BAY DR, Pittsburg, CA 94565

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 Rajiv Supra's NPI number?

The NPI number for Rajiv Supra is 1457051757. It was assigned to this individual provider in the NPPES registry on March 6, 2023.

Where is Rajiv Supra located?

Rajiv Supra practices at 2800 Romora Bay Dr, Pittsburg, CA 94565. The listed phone number is (925) 705-0235.

What is Rajiv Supra's specialty?

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

When was this NPI record last updated?

The NPPES record for Rajiv Supra was last updated on March 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.