MR. AVINESH PRAKASH
NPI 1629603667
Nurse Practitioner in Sacramento, CA
About Mr. Avinesh Prakash NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. AVINESH PRAKASH (NPI 1629603667) is an individual nurse practitioner in Sacramento, California, licensed in California (95014139) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Modesto.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Avinesh Prakash is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Avinesh Prakash reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sacramento, CA 95817
- Reassigned Medicare billing, California enrollment
- Medicare enrollment name: Regents Of The Univ Of Ca
- 2,570 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95817 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
SACRAMENTO, CA 95817
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 Avinesh Prakash's NPI number?
The NPI number for Avinesh Prakash is 1629603667. It was assigned to this individual provider in the NPPES registry on March 10, 2020.
Where is Avinesh Prakash located?
Avinesh Prakash practices at 2315 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-8556.
What is Avinesh Prakash's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Avinesh Prakash enrolled in Medicare?
Yes. Avinesh Prakash is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Avinesh Prakash's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Avinesh Prakash reassigns Medicare benefits to Regents Of The University Of Ca (Sacramento, 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 Avinesh Prakash'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 Avinesh Prakash was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mr. Avinesh Prakash · NPI 1629603667
Nurse Practitioner physician in Sacramento, California. Individual provider, active in the CMS NPPES registry since March 10, 2020.
## Identity
- **NPI:** 1629603667 (Entity type: Individual)
- **Enumerated:** March 10, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95014139 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2315 STOCKTON BLVD, Sacramento, CA 95817-2201
- **Phone:** (916) 734-8556
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Regents Of The University Of Ca (NPI 1063405074, Sacramento, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 29, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1629603667) · Data from the CMS NPPES public registry.