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SAURABH SUDESH
NPI 1790426880
Student in an Organized Health Care Education/Training Program in La Jolla, CA

Active since April 05, 2022PECOS Enrolled
9452 MEDICAL CENTER DR # MC7411, LA JOLLA, CA 92037(858) 246-2016 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Saurabh Sudesh NPPES

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

SAURABH SUDESH (NPI 1790426880) is an individual student in an organized health care education/training program in La Jolla, California and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790426880
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAURABH SUDESH
Location Address9452 MEDICAL CENTER DR # MC7411La Jolla, CA 92037-1337
Mailing Address9452 Medical Center Dr # Mc7411La Jolla, CA 92037-1337
Phone(858) 246-2016
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1790426880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
9452 MEDICAL CENTER DR # MC7411, La Jolla, CA 92037
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saurabh Sudesh 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.

Other Providers at the Same Location NPPES

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

JESSICA HONG MD
Student in an Organized Health Care Education/Training Program
9452 MEDICAL CENTER DR # MC7411
LA JOLLA, CA 92037
San Diego County (858) 657-8530

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 Saurabh Sudesh's NPI number?

The NPI number for Saurabh Sudesh is 1790426880. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Saurabh Sudesh located?

Saurabh Sudesh practices at 9452 Medical Center Dr # Mc7411, La Jolla, CA 92037. The listed phone number is (858) 246-2016.

What is Saurabh Sudesh's specialty?

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

Is Saurabh Sudesh enrolled in Medicare?

Yes. Saurabh Sudesh is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Saurabh Sudesh was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.