Individual provider Active NPI

Veena Rani Mamidi, MD

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1104016054
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A121658 Issued in CA
Practice address
2740 S Elm Ave
Fresno, CA 93706-5435
Phone
(559) 457-5200
Fax
(559) 457-5290
NPI assigned
Jul 26, 2007
Last updated
Feb 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A121658 CA Primary

Addresses

Primary practice location

2740 S Elm Ave
Fresno, CA 93706-5435

Mailing address

1945 N Fine Ave Ste 116
Fresno, CA 93727-1528
Phone (559) 457-5800

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118002798 CA Practitioner - Obstetrics/Gynecology 0941481386 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A121658CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince May 14, 2018 Accepting new patients
Family Healthcare Network CurrentSince May 14, 2018 Accepting new patients
Golden Valley Health Centers CurrentSince May 1, 2025 Accepting new patients
Family Healthcare Network Current Accepting new patients
Golden Valley Health Center CurrentSince May 1, 2025 Accepting new patients
Obhg California, P.C. Obstetrics & Gynecology CurrentSince Mar 28, 2025 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Golden Valley Health Centers Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Obstetrix Medical Group of California, a Professional Corporation Obstetrics & Gynecology CurrentSince May 1, 2025 Accepting new patients
Family Healthcare Network Current Accepting new patients
Adventist Health System Georgia, Inc Past Accepting new patients
Calhoun Obstetrics and Gynecology Associates Past Accepting new patients

Locations (25 of 26)

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1405 California Ave
Dos Palos, CA 93620
Phone (209) 392-2111

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

13161 Jefferson St
Le Grand, CA 95333
Phone (209) 389-1900

File 50978
Los Angeles, CA 90074

821 Texas Ave
Los Banos, CA 93635
Phone (209) 385-5481

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

250 Northgate Dr
Manteca, CA 95336
Phone (209) 381-7120

3940 Sandpiper Ave
Merced, CA 95340
Phone (209) 381-4104

797 W Childs Ave
Merced, CA 95341
Phone (209) 383-5871

847 W Childs Ave
Merced, CA 95341
Phone (209) 383-7441

1114 6th St
Modesto, CA 95354
Phone (209) 576-2845

1121 Hammond St
Modesto, CA 95351
Phone (209) 384-6488

2101 Tenaya Dr
Modesto, CA 95354
Phone (209) 527-0080

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

637 Merced St
Newman, CA 95360
Phone (209) 862-0270

200 C St
Patterson, CA 95363
Phone (209) 892-6307

9235 E Broadway St
Planada, CA 95365
Phone (209) 382-0253

4150 Patterson Rd
Riverbank, CA 95367
Phone (209) 628-4435

450 E Romie Ln
Salinas, CA 93901
Phone (831) 372-7844

2425 Samaritan Dr
San Jose, CA 95124
Phone (408) 354-2114

1200 W Main St
Turlock, CA 95380
Phone (209) 668-5388

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

31180 Road 72
Visalia, CA 93291
Phone (559) 651-2301

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA
  • Direct secure messaging: veena.mamidimd.p1@direct.mednaxsj.nextgenshare.com

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518134400000",
    "number": "1104016054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1945 N FINE AVE STE 116",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271528",
            "telephone_number": "559-457-5800",
            "fax_number": "559-457-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 S ELM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937065435",
            "telephone_number": "559-457-5200",
            "fax_number": "559-457-5290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMIDI",
        "first_name": "VEENA",
        "middle_name": "RANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2018-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A121658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.