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MR. AVINESH PRAKASH
NPI 1629603667
Nurse Practitioner in Sacramento, CA

Active since March 10, 2020PECOS Enrolled
2315 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-8556 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 29, 2021, Mar 10, 2020 (2 updates tracked since 2020).

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

NPI1629603667
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMR. AVINESH PRAKASH
Location Address2315 STOCKTON BLVDSacramento, CA 95817-2201
Mailing Address1441 Florida AveModesto, CA 95350-4404 · (209) 576-3525
Phone(916) 734-8556
Sole ProprietorYes
Enumeration DateMarch 10, 2020
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
✔ NPI 1629603667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 95014139
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2315 STOCKTON BLVD, Sacramento, CA 95817
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Secondary Practice Location 1

Location 11441 Florida AveModesto, CA 95350-4404 · Phone (209) 576-3525

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Avinesh Prakash 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.

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.

New Patient
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KATHLEEN STUCKER
Social Worker (Clinical)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5628
MARIA ISABEL AGUILAR
Registered Nurse
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8730
NATHAN JACOB VANDEN BERGE
Emergency Medicine
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-8570
PETER SANTIAGO C.O., C.PED., FAAOP
Specialist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7045
SHIELA LEIGH SAMSON ANGULO DO
Student in an Organized Health Care Education/Training Program
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-5974
MS. KATHLEEN DOLORES VAN LEEUWEN MD
Surgery (Pediatric Surgery)
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3229
STEPHEN MULFORD
Physical Therapy Assistant
2315 STOCKTON BLVD, ROOM 0512
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248
MR. MARK YAMADA
Occupational Therapist
2315 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-7248

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.

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.