Active NPI
Uma P Rao, MD
- Internal Medicine Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A77005
- Practice address
- 1400 N Harbor Blvd
Suite 120
Fullerton, CA 92835-4126 - Phone
- (714) 992-2765
- Fax
- (714) 681-9015
- NPI assigned
- Dec 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A77005 | CA | Primary |
Addresses
Primary practice location
1400 N Harbor Blvd
Suite 120
Fullerton, CA 92835-4126
Mailing address
7965 Sierra Ave
Ste E
Fontana, CA 92336-3329
Phone (714) 992-2765
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A770050 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14980 Summit Ave
Suite 230
Fontana, CA 92336-5390
Phone (909) 803-1160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77005 | CA | MD | Pharmacist |
| A77005 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Marcos Medical Group Inc | Current | Accepting new patients | |
| San Marcos Medical Group Inc. | Past | Accepting new patients | |
| San Marcos Medical Group Inc. | Past | Accepting new patients | |
| San Marcos Medical Group Inc. | Past | Accepting new patients |
Locations
7965 Sierra Ave
Ste E
Fontana, CA 92336
Phone (909) 356-4459
14980 Summit Ave
Ste 230
Fontana, CA 92336
Phone (909) 803-1160
742 W Highland Ave
Sn Bernrdno, CA 92405
Phone (909) 881-7320
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- uma.rao.p1@direct.metro.nextgenshare.com
Organizations & group practices 4
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540166400000",
"number": "1043371479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7965 SIERRA AVE",
"address_2": "STE E",
"city": "FONTANA",
"state": "CA",
"postal_code": "923363329",
"telephone_number": "714-992-2765",
"fax_number": "714-681-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N HARBOR BLVD",
"address_2": "SUITE 120",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354126",
"telephone_number": "714-992-2765",
"fax_number": "714-681-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAO",
"first_name": "UMA",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-12",
"last_updated": "2018-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A77005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A770050",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.