Individual provider Active NPI

Ramasamy Seralathan, M.D.,

  • Surgery Physician
  • Porterville, CA
National Provider Identifier
1174533319
Registry record updated Apr 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
C43002 Issued in CA
Practice address
560 W Putnam Ave
Suite 8
Porterville, CA 93257-3269
Phone
(559) 781-2000
Fax
(559) 781-8679
NPI assigned
Aug 9, 2006
Last updated
Apr 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X C43002 CA Primary

Addresses

Primary practice location

560 W Putnam Ave
Suite 8
Porterville, CA 93257-3269

Mailing address

560 W Putnam Ave
Suite 8
Porterville, CA 93257-3269
Phone (559) 781-2000

Other identifiers 1

IdentifierTypeStateIssuer
00C430020MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060417000783 CA Practitioner - General Surgery 1658380860 Reassigns benefits to 1 organization
1 other NPI on this enrollment
Practice locations: Porterville, CA

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1972
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

560 W Putnam Ave
Porterville, CA 93257-3269
Phone (559) 781-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy50
Hernia repair - groin (open)21
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
State of California - Department of Developmental Services Current Accepting new patients
Agnews Community Clinic CurrentSince Aug 1, 2008 Accepting new patients
State of California - Department of Developmental Services CurrentSince Aug 1, 2008 Accepting new patients
Sierra View Local Health Care District Past Accepting new patients

Locations

26501 Avenue 140
Porterville, CA 93257
Phone (559) 782-2222

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1174533319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 W PUTNAM AVE",
            "address_2": "SUITE 8",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573269",
            "telephone_number": "559-781-2000",
            "fax_number": "559-781-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 W PUTNAM AVE",
            "address_2": "SUITE 8",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573269",
            "telephone_number": "559-781-2000",
            "fax_number": "559-781-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SERALATHAN",
        "first_name": "RAMASAMY",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C43002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C430020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.