NPIMap

Organization Active NPI

Seturam Pandurangi MD a Profession Corporation

  • Allergy Physician
  • Fairfield, CA
National Provider Identifier
1093950040
Registry record updated Dec 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy PhysicianTaxonomy code 207KA0200X
License
00A313120 Issued in CA
Legal business name
SETURAM PANDURANGI MD A PROFESSION CORPORATION
Practice address
1620 Pennsylvania Ave
# B
Fairfield, CA 94533-3551
Phone
(707) 425-2002
Fax
(707) 425-2011
NPI assigned
Dec 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2008

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

Authorized official

Name
Dr. Seturam Pandurangi, M.D
Title
President
Phone
(707) 425-2002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KA0200X 00A313120 CA Primary

Addresses

Primary practice location

1620 Pennsylvania Ave
# B
Fairfield, CA 94533-3551

Mailing address

1620 Pennsylvania Ave
# B
Fairfield, CA 94533-3551
Phone (707) 425-2002

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1093950040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 PENNSYLVANIA AVE",
            "address_2": "# B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333551",
            "telephone_number": "707-425-2002",
            "fax_number": "707-425-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PENNSYLVANIA AVE",
            "address_2": "# B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333551",
            "telephone_number": "707-425-2002",
            "fax_number": "707-425-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETURAM PANDURANGI MD A PROFESSION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "PANDURANGI",
        "authorized_official_first_name": "SETURAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-425-2002",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Allergy",
            "state": "CA",
            "license": "00A313120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.