Active NPI
Ravindra Prabhu MD a Medical Corporation
- Clinical Cardiac Electrophysiology Physician
- Chula Vista, CA
National Provider Identifier
1174956270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- A37174
- Legal business name
- RAVINDRA PRABHU MD A MEDICAL CORPORATION
- Practice address
- 754 Medical Center CT.
Suite 206
Chula Vista, CA 91911-6656 - Phone
- (619) 482-4333
- Fax
- (619) 482-4445
- NPI assigned
- Aug 13, 2013
- 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
- Ravindra Prabhu, MD
- Title
- MD.
- Phone
- (619) 482-4333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | A37174 | CA | Primary |
Addresses
Primary practice location
754 Medical Center CT.
Suite 206
Chula Vista, CA 91911-6656
Mailing address
754 Medical Center CT.
Suite 206
Chula Vista, CA 91911-6656
Phone (619) 482-4333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A371740 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
754 Medical Center Ct
Ste 206
Chula Vista, CA 91911
Phone (619) 482-4333
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acute Care Nurse Practitioner
- Chula Vista, CA
- NPI 1992348205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376352000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1378771200000",
"number": "1174956270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "754 MEDICAL CENTER CT.",
"address_2": "SUITE 206",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116656",
"telephone_number": "619-482-4333",
"fax_number": "619-482-4445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "754 MEDICAL CENTER CT.",
"address_2": "SUITE 206",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919116656",
"telephone_number": "619-482-4333",
"fax_number": "619-482-4445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAVINDRA PRABHU MD A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-13",
"last_updated": "2013-09-10",
"status": "A",
"authorized_official_last_name": "PRABHU",
"authorized_official_first_name": "RAVINDRA",
"authorized_official_title_or_position": "MD.",
"authorized_official_telephone_number": "619-482-4333",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "CA",
"license": "A37174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A371740",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.