Laxmi Challa, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A103277 Issued in CA

Practice address

608 Hardcastle CT
San Ramon, CA 94583-6015

Phone

(408) 715-7865

NPI assigned

Dec 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Laxmi Challa Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1023552122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 HARDCASTLE CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945836015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 HARDCASTLE CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945836015",
            "telephone_number": "408-715-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALLA",
        "first_name": "LAXMI",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A103277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAXMI",
            "last_name": "CHALLA",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Vanessa Joann Cerda, OD
• Leslie Cerna-Delgado
• Alondra Cervantes
• Nina Cha
• Charissa Lee Chaban, MPT
• Chan M. Park, D.D.S., M.D., PC and Benjamin R. Shimel, D.D.S., PC a PA
• Gladys Chan, BCBA
• Jeffrey Chan
• Justin Michael Chan
• Minnie C Chan, OTR/L

• Family Medicine Physician in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.