Active NPI
Nirmala Kannan M.D. a Professional Corporation
- Internal Medicine Physician
- Hayward, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A52786
- Legal business name
- NIRMALA KANNAN M.D. A PROFESSIONAL CORPORATION
- Practice address
- 1090 La Playa Dr
Hayward, CA 94545-2142 - Phone
- (510) 785-5555
- Fax
- (510) 280-3116
- NPI assigned
- Oct 19, 2006
- Last updated
- Jun 10, 2010
- 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
- Dr. Nirmala Kannan, M.D.
- Title
- Owner
- Phone
- (650) 574-3778
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A52786 | CA | Primary |
Addresses
Primary practice location
1090 La Playa Dr
Hayward, CA 94545-2142
Mailing address
PO Box 4760
Foster City, CA 94404-0760
Phone (650) 574-3778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A527860 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
39022 Presidio Way
Fremont, CA 94538
Phone (510) 792-3743
27171 Calaroga Ave
Ste 3
Hayward, CA 94545
Phone (650) 316-5777
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Hospitalist Physician
- Hayward, CA
- NPI 1114014172
-
- Physician Assistant
- Hayward, CA
- NPI 1215234737
-
- Physician Assistant
- Modesto, CA
- NPI 1548508369
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1275632044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276128000000",
"number": "1174605158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4760",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944040760",
"telephone_number": "650-574-3778",
"fax_number": "650-574-0353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 LA PLAYA DR",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945452142",
"telephone_number": "510-785-5555",
"fax_number": "510-280-3116"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NIRMALA KANNAN M.D. A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-19",
"last_updated": "2010-06-10",
"status": "A",
"authorized_official_last_name": "KANNAN",
"authorized_official_first_name": "NIRMALA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "650-574-3778",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A52786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A527860",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.