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SANJAY KUDTARKAR
NPI 1477634632
Specialist in San Bernardino, CA

Active since October 17, 2006
1998 N ARROWHEAD AVE, SAN BERNARDINO, CA 92405(909) 882-0988(909) 886-1301 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sanjay Kudtarkar NPPES

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

SANJAY KUDTARKAR (NPI 1477634632) is an individual specialist in San Bernardino, California, licensed in California (A64957) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1477634632
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameSANJAY KUDTARKAR
Location Address1998 N ARROWHEAD AVESan Bernardino, CA 92405-4116
Mailing Address1998 N Arrowhead AveSan Bernardino, CA 92405-4116 · (909) 882-0988 · Fax (909) 886-1301
Phone(909) 882-0988
Fax(909) 886-1301
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1477634632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A64957
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1998 N ARROWHEAD AVE, San Bernardino, CA 92405
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Other Identifiers 1

Medicaid00A649570CA

Other Providers at the Same Location NPPES 14

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

MRS. JOCELYN ELLEN SEITZ-KEOUGH FNP
Nurse Practitioner (Family)
1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 882-0988
PACIFIC HOSPICE, INC.
Hospice Care, Community Based
1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 882-0988
PACIFIC HOME HEALTH
Home Health
1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 882-8466
PRIMARY CARE MEDICAL GROUP OF INLAND EMPIRE, INC
Clinic/Center (Multi-Specialty)
1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 882-0988
ANDREA DO NP-C
Nurse Practitioner
1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 882-0988
MANJIT RAI
Nurse Practitioner (Acute Care)
1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 882-0988
PACIFIC HOSPICE INC.
Hospice Care, Community Based
1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 882-8466
TONIEKA SPENCER RN, FNP
Nurse Practitioner (Family)
1998 N ARROWHEAD AVE
SAN BERNARDINO, CA 92405
San Bernardino County (909) 882-0988

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 Sanjay Kudtarkar's NPI number?

The NPI number for Sanjay Kudtarkar is 1477634632. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Sanjay Kudtarkar located?

Sanjay Kudtarkar practices at 1998 N Arrowhead Ave, San Bernardino, CA 92405. The listed phone number is (909) 882-0988.

What is Sanjay Kudtarkar's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Sanjay Kudtarkar was last updated on March 7, 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.