Organization Active NPI

Cheruba Prabakar MD, Inc

  • Gynecology Physician
  • Lafayette, CA
National Provider Identifier
1144957309
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
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

Updated by the provider on Aug 6, 2022

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

Authorized official

Name
Cheruba Prabakar, MDNPI 1679701858
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)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL www.drprabakar.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.