Active NPI
Dev Appannagari Gnanadev, MD
- Surgery Physician
- Colton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 00A357430
- Practice address
- 400 N Pepper Ave
Armc Modular # 3
Colton, CA 92324-1801 - Phone
- (909) 580-6210
- Fax
- (909) 580-1363
- NPI assigned
- Aug 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 00A357430 | CA | |
| Surgical Critical Care Physician | 2086S0102X | 00A357430 | CA | |
| Surgery Physician | 208600000X | 00A357430 | CA | Primary |
Addresses
Primary practice location
400 N Pepper Ave
Armc Modular # 3
Colton, CA 92324-1801
Mailing address
PO Box 670
Redlands, CA 92373-0221
Phone (909) 580-6210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0079700 | 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
- General Surgery
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-3353
Hospital & facility affiliations
- Arrowhead Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35743 | CA | MD | Optometrist |
| 00A357430 | CA | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cal Med Physicians and Surgeons, Inc. | Surgery | Current | Accepting new patients |
| California University of Science and Medicine | Past | Accepting new patients | |
| Cal Med Endoscopy Center LLC | Past | Accepting new patients | |
| Cal Med Vascular Center LLC | Past | Accepting new patients | |
| Cal Med Vascular ASC LLC | Past | Accepting new patients |
Locations
400 N Pepper Ave
#3
Colton, CA 92324
Phone (909) 580-3353
400 N Pepper Ave
Ste 308
Colton, CA 92324
Phone (909) 580-1366
400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- dgnanadev17828@armc.direct.summit-healthcare.org
Organizations & group practices 5
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.
-
- Surgery Physician
- Colton, CA
- NPI 1316054737
-
- Endoscopy Clinic/Center
- Colton, CA
- NPI 1982181939
-
- Ambulatory Surgical Clinic/Center
- Colton, CA
- NPI 1326789009
-
- Clinic/Center
- Colton, CA
- NPI 1255826038
-
- Neurology Physician
- Colton, CA
- NPI 1255849360
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Colton, CA
- NPI 1720158009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786320000000",
"number": "1104933985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923730221",
"telephone_number": "909-580-6210",
"fax_number": "909-580-1363"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"address_2": "ARMC MODULAR # 3",
"city": "COLTON",
"state": "CA",
"postal_code": "923241801",
"telephone_number": "909-580-6210",
"fax_number": "909-580-1363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GNANADEV",
"first_name": "DEV",
"middle_name": "APPANNAGARI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2026-08-10",
"certification_date": "2026-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "CA",
"license": "00A357430",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "CA",
"license": "00A357430",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "00A357430",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0079700",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
- Global Anesthesia Services Inc a Professional Nursing Corporation
- Global Home Health Network and Allied Services LLC
- Global Regency Colton Senior Care Services, LLC
- Keith James Glover
- James L Glubka, CRNA
- Raja Alberto Appannagari Gnanadev, MS, MD
- Yamuna Gnanadev, M.D.
- Claudin Aurelia Gomez, M.D.
- Corazon Gomez
- John R Gomez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; 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.