Active NPI
Shawn Raveenth Vedamani, MD
- Anesthesiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 116063
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (800) 926-8273
- Fax
- (888) 539-8781
- NPI assigned
- Jul 31, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 30135 | OK | |
| Anesthesiology Physician | 207L00000X | MD60681697 | WA | |
| Anesthesiology Physician | 207L00000X | ME166160 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | ||
| Anesthesiology Physician | 207L00000X | 116063 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
File 57326
Los Angeles, CA 90074-7326
Phone (858) 249-6748
Other practice location 1
4150 Regents Park Row Ste 300
LA Jolla, CA 92037
Phone (858) 909-9000
Other practice location 2
750 NE 13th St Ste 200
Oklahoma City, OK 73104-5024
Phone (405) 271-4351
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.77 of 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 116063 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the University of | Anesthesiology | Current | Accepting new patients |
| Allied Anesthesia Medical Group Inc | Anesthesiology | Current | Accepting new patients |
| La Quality Care Anesthesia Consultants Inc | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Regents of the University of California | Anesthesiology | Current | Accepting new patients |
| Valley Anesthesiology Consultants, Inc. | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia, PC | Anesthesiology | Current | Accepting new patients |
| Cep America - Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Sound Physicians Anesthesiology of California PC | Anesthesiology | Current | Accepting new patients |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients |
Locations
1850 N Central Ave
Ste 1600
Phoenix, AZ 85004
Phone (602) 744-4760
6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657
1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
5700 San Fernando Rd
Glendale, CA 91202
Phone (818) 637-7766
1500 E Chevy Chase Dr
Ste 101
Glendale, CA 91206
Phone (818) 265-1581
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
4150 Regents Park Row
Ste 300
La Jolla, CA 92037
Phone (858) 909-9000
5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711
975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575
File 57326
Los Angeles, CA 90074
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000
4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411
455 S Main St
Orange, CA 92868
Phone (714) 289-4511
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
255 E Bonita Ave
Pomona, CA 91767
Phone (866) 724-4127
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841
Interoperability endpoints
- svedamani11947@direct.llu.edu
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
-
- Anesthesiology Physician
- Walnut Creek, CA
- NPI 1790401438
-
- Anesthesiology Physician
- Glendale, CA
- NPI 1427470053
-
- Anesthesiology Physician
- Orange, CA
- NPI 1487602546
-
- Anesthesiology Physician
- Murrieta, CA
- NPI 1699408229
-
- Anesthesiology Physician
- Phoenix, AZ
- NPI 1285660704
-
- Anesthesiology Physician
- Palo Alto, CA
- NPI 1588023949
-
- Anesthesiology Physician
- San Diego, CA
- NPI 1356444897
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Anesthesiology Physician
- Langhorne, PA
- NPI 1093678229
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715126400000",
"number": "1003047531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE 57326",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900747326",
"telephone_number": "858-249-6748"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "800-926-8273",
"fax_number": "888-539-8781"
}
],
"practiceLocations": [
{
"address_1": "4150 Regents Park Row Ste 300",
"address_purpose": "LOCATION",
"city": "LA Jolla",
"state": "CA",
"postal_code": "92037",
"country_code": "US",
"telephone_number": "858-909-9000",
"fax_number": "858-909-9009",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 NE 13th St Ste 200",
"address_purpose": "LOCATION",
"city": "Oklahoma City",
"state": "OK",
"postal_code": "731045024",
"country_code": "US",
"telephone_number": "405-271-4351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VEDAMANI",
"first_name": "SHAWN",
"middle_name": "RAVEENTH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-07-31",
"last_updated": "2024-05-08",
"certification_date": "2024-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OK",
"license": "30135",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD60681697",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME166160",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "116063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.