Vijay Munagala, DDS, MPH

Primary specialty

DentistTaxonomy code 122300000X

License

57212 Issued in CA

Practice address

20212 Redwood Rd Ste 101
Castro Valley, CA 94546-4324

Phone

(510) 886-6416

Fax

(510) 886-4827

NPI assigned

Jul 15, 2008

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Vijay Munagala DDS Inc

  • Dental Clinic/Center
  • Castro Valley, CA
  • NPI 1760032007
  NPD (past) Authorized official

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1104080522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20212 REDWOOD RD STE 101",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464324",
            "telephone_number": "510-886-6416",
            "fax_number": "510-886-4827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20212 REDWOOD RD STE 101",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945464324",
            "telephone_number": "510-886-6416",
            "fax_number": "510-886-4827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNAGALA",
        "first_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "DDS, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeff Mosier, ASW, PPSC
• Rania Mossad
• David Emmanuel Moyal, PA
• Ms. Wellness Nutrition, Inc.
• Summaiya Muhammad, M.D
• Katherine Munoz-Cano
• Marc A Munoz, P.A.
• Neary Chhun Muong
• Eileen B Murphy, RN
• Mackenzie Joy Murphy, DDS

• Dentist in Castro Valley, CA
• Providers in Castro Valley, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.