Individual provider Active NPI

Nanditha Kongara, MD

  • Family Medicine Physician
  • Fontana, CA
National Provider Identifier
1144397985
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A92556 Issued in CA
Practice address
9961 Sierra Ave
Fontana, CA 92335-6720
Phone
(909) 427-3910
NPI assigned
Nov 29, 2006
Last updated
Mar 12, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A92556 CA Primary

Addresses

Primary practice location

9961 Sierra Ave
Fontana, CA 92335-6720

Mailing address

393 E Walnut St
3Rd Floor PHR Systems
Pasadena, CA 91188-0001
Phone (000) 000-0000

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
I20080428000422 CA Practitioner - Family Practice 5395823686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Southern California Keck School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
California Dreams Medical Corporation PCGroup PAC ID 7113353160, 21 clinicians
Universal Urgent Care and Occupational Medicine IncGroup PAC ID 1052637329, 4 clinicians

Practice addresses (Care Compare)

3656 W Shaw Ave
Fresno, CA 93711-3231
Phone (559) 823-5252

8325 Brimhall Rd
Suite 100
Bakersfield, CA 93312-2245
Phone (661) 679-6720

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A92556CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Universal Urgent Care and Occupational Medicine, Inc. Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
California Dreams Medical Corporation PC CurrentSince May 25, 2023 Accepting new patients
Universal Healthcare Services Inc. Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Universal Healthcare Services, Inc. Family Medicine PastSince Sep 3, 2025 Accepting new patients
SJV Medical Group PastSince Nov 22, 2020 Accepting new patients
Pain Clinics of Central California, Inc. PastSince May 20, 2022 Accepting new patients

Locations

2121 Niles St
Bakersfield, CA 93305
Phone (661) 325-1255

2121 Niles St
Ste 200
Bakersfield, CA 93305
Phone (661) 546-9046

2728 Ming Ave
Bakersfield, CA 93304
Phone (661) 587-2468

2734 Ming Ave
Bakersfield, CA 93304
Phone (661) 397-0100

3550 Q St
Ste 201202
Bakersfield, CA 93301
Phone (702) 997-5588

4200 Buck Owens Blvd
Bakersfield, CA 93308
Phone (661) 633-2125

6025 Niles St
Ste A1
Bakersfield, CA 93306

6055 Niles St
Bakersfield, CA 93306
Phone (661) 363-0436

6640 Wible Rd
Bakersfield, CA 93313
Phone (661) 410-9500

7850 White Ln
Ste E200
Bakersfield, CA 93309

8200 Stockdale Hwy
#M10318
Bakersfield, CA 93311

8303 Brimhall Rd
#1500
Bakersfield, CA 93312
Phone (661) 587-2468

8325 Brimhall Rd
Ste 100
Bakersfield, CA 93312
Phone (661) 587-2468

8325 Brimhall Rd
Ste 100A
Bakersfield, CA 93312
Phone (661) 589-0003

3656 W Shaw Ave
Fresno, CA 93711
Phone (559) 388-8430

3793 E Shields Ave
Fresno, CA 93726
Phone (833) 478-1818

Interoperability endpoints

  • Direct secure messaging: nanditha.kongara.d1.p2@direct.hvvmg.nextgenshare.com
  • Direct secure messaging: nanditha.kongara@2871.securemail.prognocis.com
  • Direct secure messaging: nanditha.kongara@3336.securemail.prognocis.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205280000000",
    "number": "1144397985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "393 E WALNUT ST",
            "address_2": "3RD FLOOR PHR SYSTEMS",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911880001",
            "telephone_number": "000-000-0000",
            "fax_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9961 SIERRA AVE",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923356720",
            "telephone_number": "909-427-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONGARA",
        "first_name": "NANDITHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2008-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A92556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

Verify at the official NPI Registry.