Meghana Madala, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95020720 Issued in CA

Practice address

1 Scripps Dr Ste 107
Sacramento, CA 95825-6206

Phone

(916) 929-3456

NPI assigned

Jun 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1174252050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 FRANCIS CT",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956307509",
            "telephone_number": "916-817-7333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SCRIPPS DR STE 107",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256206",
            "telephone_number": "916-929-3456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7237 E Southgate Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958232637",
            "country_code": "US",
            "telephone_number": "916-422-6635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MADALA",
        "first_name": "MEGHANA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95020720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen M. Macres, M.D.
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• Alexis Macy, PSY.D
• Sarah K Macys
• Sunita Madadi, PHARM.D.
• Niti Madan
• Samineh Madani, M.D.
• Jon Allen Lumauig Madarang, RN
• Anthony Michael Madariaga, LMFT
• Moriah Danielle Maddalena, MD

• Pediatric Nurse Practitioner in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.