Surinder Uppal, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A35254 Issued in CA

Practice address

103 Fair Dr
Susanville, CA 96130-4201

Phone

(530) 257-7773

NPI assigned

Nov 17, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lassen Medical Center

  • Family Medicine Physician
  • Susanville, CA
  • NPI 1750413597

  General Practice

  NPD (past)

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063585792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FAIR DR",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304201",
            "telephone_number": "530-257-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 FAIR DR",
            "city": "SUSANVILLE",
            "state": "CA",
            "postal_code": "961304201",
            "telephone_number": "530-257-7773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPPAL",
        "first_name": "SURINDER",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A35254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Humphreys OD Faao, Professional Corporation (Legacy Optometry)
• Shirley Yihsiu Tsai, PHARMD
• Glenda Lee Turnage
• Barbara Ann Turner, PHARMD
• Indra Uppal, MD
• Greg Valceschini, M.D.
• Michael C Vanderley
• Peggy A Vaquera, LPCC
• Allen Kumar Varma, NP
• Vial Physical Therapy, Inc

• General Practice Physician in Susanville, CA
• Providers in Susanville, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.