Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
KESANAPALLI PEDIATRICS PROFESSIONAL MEDICAL CORPORATION
Active
Organization
KESANAPALLI PEDIATRICS PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Bright Pediatrics, Jacobson Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPTHI KESANAPALLI M.D. (CEO)
(858) 576-8010
Entity
Organization
Contact information
Practice address
7910 FROST STREET, SUITE 335, SAN DIEGO, CA 92123-2771
(858) 576-8010
(858) 576-7391
Mailing address
7910 FROST STREET, SUITE 335, SAN DIEGO, CA 92123-2771
(858) 576-8010
(858) 576-7391
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A56064
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A560640
—
CA
01
—
ZZZ01416Z
BLUE SHIELD
CA
Enumeration date
05/16/2008
Last updated
09/13/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up