Active NPI
Meena B Subbarao, M.D.
- Pediatrics Physician
- Salinas, CA
National Provider Identifier
1033105432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A56055
- Practice address
- 640 E Alvin Dr
Suite B
Salinas, CA 93906-3055 - Phone
- (831) 444-6263
- Fax
- (831) 444-6168
- NPI assigned
- Sep 22, 2005
- Last updated
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A56055 | CA | Primary |
Addresses
Primary practice location
640 E Alvin Dr
Suite B
Salinas, CA 93906-3055
Mailing address
640 E Alvin Dr
Suite B
Salinas, CA 93906-3055
Phone (831) 444-6263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A56055 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salinas Valley Memorial Healthcare System | Past | Accepting new patients | |
| Romie Lane Pediatric Group, Inc | Past | Accepting new patients |
Interoperability endpoints
- admin@subbaraomd.e-mdsdirect.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Salinas, CA
- NPI 1720430861
-
- Specialist
- Salinas, CA
- NPI 1982601167
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1750384079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1033105432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 E ALVIN DR",
"address_2": "SUITE B",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063055",
"telephone_number": "831-444-6263",
"fax_number": "831-444-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 E ALVIN DR",
"address_2": "SUITE B",
"city": "SALINAS",
"state": "CA",
"postal_code": "939063055",
"telephone_number": "831-444-6263",
"fax_number": "831-444-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUBBARAO",
"first_name": "MEENA",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-22",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A56055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salinas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.