Active NPI
Cheruba Prabakar MD, Inc
- Gynecology Physician
- Lafayette, CA
National Provider Identifier
1144957309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- Legal business name
- CHERUBA PRABAKAR MD, INC
- Practice address
- 978 2ND St Ste 100
Lafayette, CA 94549-4544 - Phone
- (925) 403-4610
- NPI assigned
- Aug 6, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheruba Prabakar, MD
- Title
- Ceo
- Phone
- (203) 232-2762
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | Primary |
Addresses
Primary practice location
978 2ND St Ste 100
Lafayette, CA 94549-4544
Mailing address
5676 Oak Grove Ave
Oakland, CA 94618-1243
Phone (203) 232-2762
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.drprabakar.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Berkeley, CA
- NPI 1679701858
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659744000000",
"number": "1144957309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5676 OAK GROVE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181243",
"telephone_number": "203-232-2762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "978 2ND ST STE 100",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945494544",
"telephone_number": "925-403-4610"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERUBA PRABAKAR MD, INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-06",
"last_updated": "2022-08-06",
"certification_date": "2022-08-06",
"status": "A",
"authorized_official_last_name": "PRABAKAR",
"authorized_official_first_name": "CHERUBA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "203-232-2762",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.drprabakar.com",
"affiliation": "N",
"endpointDescription": "website",
"address_1": "978 2nd St Ste 100",
"city": "Lafayette",
"state": "CA",
"country_code": "US",
"postal_code": "945494544",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.