Active NPI
Nanditha Kongara, MD
- Family Medicine Physician
- Fontana, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A92556
- Practice address
- 9961 Sierra Ave
Fontana, CA 92335-6720 - Phone
- (909) 427-3910
- NPI assigned
- Nov 29, 2006
- Last updated
- Mar 12, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A92556 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Universal Urgent Care and Occupational Medicine, Inc. | Family Medicine | Current | Accepting new patients |
| California Dreams Medical Corporation PC | Current | Accepting new patients | |
| Universal Healthcare Services Inc. | Family Medicine | Current | Accepting new patients |
| Universal Healthcare Services, Inc. | Family Medicine | Past | Accepting new patients |
| SJV Medical Group | Past | Accepting new patients | |
| Pain Clinics of Central California, Inc. | Past | 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
- nanditha.kongara.d1.p2@direct.hvvmg.nextgenshare.com
- nanditha.kongara@2871.securemail.prognocis.com
- 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.
-
dba American Family Care
- Urgent Care Clinic/Center
- Fresno, CA
- NPI 1487299699
-
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1346646775
Family Medicine
-
dba Brimhall Primary Care Center
- Specialist
- Bakersfield, CA
- NPI 1720282585
Family Medicine
-
- Pain Medicine Physician
- Visalia, CA
- NPI 1861060733
-
- Pulmonary Disease Physician
- Bakersfield, CA
- NPI 1437752656
-
- Family Medicine Physician
- Bakersfield, CA
- NPI 1336027671
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.