Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spoorthy Prabhudeva, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1679369912

Spoorthy Prabhudeva, MD is a Student in an Organized Health Care Education/Training Program in Stockton, California. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1800 N California St
Stockton, CA 95204-6019
Phone: (209) 547-7143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 W Hospital Rd, French Camp, CA 95231-9693 — (209) 468-6620

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1679369912
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 15, 2025
Last updated in NPPESMarch 29, 2026
Certification dateMarch 29, 2026

Other providers in Stockton