Vijaya K. Tangella MD, Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

A045065 Issued in CA

Legal business name

VIJAYA K. TANGELLA MD, INC

Practice address

750 W Olive Ave
Suite 104
Merced, CA 95348-2436

Phone

(209) 384-2704

NPI assigned

Jan 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Vijaya K Tangella, M.D.NPI 1902024623

Title

Owner

Phone

(209) 384-2704

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vijaya K Tangella, M.D.

  • Specialist
  • Merced, CA
  • NPI 1902024623
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703548800000",
    "number": "1023256153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W OLIVE AVE",
            "address_2": "SUITE 104",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-384-2704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 W OLIVE AVE",
            "address_2": "SUITE 104",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953482436",
            "telephone_number": "209-384-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIJAYA K. TANGELLA MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A",
        "authorized_official_last_name": "TANGELLA",
        "authorized_official_first_name": "VIJAYA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-384-2704",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A045065",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A045065",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W Via, M.D.
• Natalie Alcina Vieira-Leal
• Kevin Gilbert Vieira, ATC
• Brian James Vierra, MD
• Maria Vigil
• Marianne Vilayphone
• Alyssa Jaime Nicole Villa
• Angela Rosalee Villa
• Christine Villagomez
• Elizabeth Ivy Villagrana

• Anesthesiology Physician in Merced, CA
• Providers in Merced, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.