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Radha Jagannathan

Marriage & Family Therapist · Mountain View

NPI 1043975725

Medicare standing
3 flags on the record
Listed below.
Plans that list them
Not verified
Not the same as out of network.
Office
1

On the public record

  • Medicare does not list them as allowed to order and refer
  • California licence: Revoked
  • 1 Medical Board action on record

Offices

1 location

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Radha Jagannathan’s office at (408) 482-5477 to ask if they take your plan before you enroll.

California Medical Board record

Licence C27267 · Revoked

Licence status: Revoked · since 1965 · University of Kansas School of Medicine.

License has been revoked as a result of disciplinary action rendered by the Board. No practice is permitted.

Matched on the licence number without its letter prefix; check the name before relying on it.

Public record actions

Actions the Medical Board of California publishes for this licence
1978-07-07Board disciplineDisciplineRevoked. · 03 1977300173

Surgery centers they own

  • West LA-Venice Surgery Center, Inc. dba Boris CosmeticAmbulatory Surgery Center · Culver City, CA100% owner since 2011 · accredited by AAAHC
    Accreditation Renewed5 inspections, 1 with deficiencies · last 2024-09-09

Professional record

NPI
1043975725
Licence
CA 27267California C27267: Revoked
More record details
Sole proprietor
Yes
Taxonomy
Federal specialty code 106H00000X (106H00000X)
Mailing address
808 Beaverton Ct, Sunnyvale, CA, 94087
NPI first listed
2021-11-08
NPI last updated
2021-11-08
NPI record certified
2021-11-08

This is when the NPI record was last certified, not a medical board exam.