SPOORTHY PRABHUDEVA MD
NPI 1679369912
Student in an Organized Health Care Education/Training Program in Stockton, CA

Active since April 15, 2025
1800 N CALIFORNIA ST, STOCKTON, CA 95204(209) 547-7143 Get Directions Write a Review

NPPES record last updated: March 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Spoorthy Prabhudeva Md NPPES

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

SPOORTHY PRABHUDEVA MD (NPI 1679369912) is an individual student in an organized health care education/training program in Stockton, California and active in the NPI registry since April 2025. She maintains a secondary practice location in French Camp.

NPPES Registry Identity

NPI1679369912
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSPOORTHY PRABHUDEVACredential: MD
Location Address1800 N CALIFORNIA STStockton, CA 95204-6019
Mailing Address1800 N California StStockton, CA 95204-6019
Sole ProprietorNo
Enumeration DateApril 15, 2025
Last NPPES UpdateMarch 29, 2026
NPPES CertifiedMarch 29, 2026
NPI 1679369912 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.
1800 N CALIFORNIA ST, Stockton, CA 95204

Secondary Practice Location 1

Location 1500 W Hospital RdFrench Camp, CA 95231-9693 · Phone (209) 468-6620

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.

Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Speech-Language Pathologist
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Anesthesiology
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Student in an Organized Health Care Education/Training Program
1800 N CALIFORNIA ST
STOCKTON, CA 95204
Nurse Practitioner (Family)
1800 N CALIFORNIA ST
STOCKTON, CA 95204

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 Spoorthy Prabhudeva's NPI number?

The NPI number for Spoorthy Prabhudeva is 1679369912. It was assigned to this individual provider in the NPPES registry on April 15, 2025.

Where is Spoorthy Prabhudeva located?

Spoorthy Prabhudeva practices at 1800 N California St, Stockton, CA 95204. The listed phone number is (209) 547-7143.

What is Spoorthy Prabhudeva'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 Spoorthy Prabhudeva was last updated on March 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.