Organization Active NPI

S. Jayachandran, M.D. P.C.

  • Urology Physician
  • Surprise, AZ
National Provider Identifier
1154543379
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
14860 Issued in AZ
Legal business name
S. JAYACHANDRAN, M.D. P.C.
Practice address
14674 W Mountain View Blvd Ste 210
Surprise, AZ 85374-2708
Phone
(623) 546-1400
Fax
(623) 544-5921
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

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

Authorized official

Name
Dr. Sundararajan Nmi Jayachandran, MDNPI 1447226444
Title
President
Phone
(623) 546-1400

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 14860 AZ Primary

Addresses

Primary practice location

14674 W Mountain View Blvd Ste 210
Surprise, AZ 85374-2708

Mailing address

4212 E Marlette Ave
Paradise Valley, AZ 85253
Phone (623) 546-1400

National Provider Directory

National Provider Directory

Locations

14674 W Mountain View Blvd
Ste 210
Surprise, AZ 85374
Phone (623) 546-1400

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1154543379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4212 E MARLETTE AVE",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "85253",
            "telephone_number": "623-546-1400",
            "fax_number": "623-544-5921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14674 W MOUNTAIN VIEW BLVD STE 210",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853742708",
            "telephone_number": "623-546-1400",
            "fax_number": "623-544-5921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S. JAYACHANDRAN, M.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "JAYACHANDRAN",
        "authorized_official_first_name": "SUNDARARAJAN",
        "authorized_official_middle_name": "NMI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-546-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "AZ",
            "license": "14860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.