Healthcare Provider Details

I. General information

NPI: 1669494118
Provider Name (Legal Business Name): DEEPTI SAXENA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 07/01/2025
Certification Date: 06/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1752 E LUGONIA AVE STE 117-1130
REDLANDS CA
92374-2730
US

IV. Provider business mailing address

1811 MONTECITO LN
REDLANDS CA
92374-7626
US

V. Phone/Fax

Practice location:
  • Phone: 510-790-2116
  • Fax: 510-344-8972
Mailing address:
  • Phone: 510-229-9738
  • Fax: 510-344-8972

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA81382
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: