Gautam K Vadlamudi, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A 51500 Issued in CA

Practice address

1001 Nut Tree Rd
Suite 110
Vacaville, CA 95687-4166

Phone

(707) 455-8724

Fax

(707) 455-7645

NPI assigned

Sep 13, 2006

Last updated

Mar 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Family Practice

Education

Other, 1986

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vacaville Convalescent and Rehabilitation Center Nursing home, Vacaville, CA, CCN 555349

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Vacaville Urgent Care Medical Group Inc

  dba Vacaville Urgent Care

  • Primary Care Clinic/Center
  • Vacaville, CA
  • NPI 1831393255
  Medicare reassignment NPD Authorized official
• Macdremma, Inc

  dba anytime fitness

  • Physical Medicine & Rehabilitation Physician
  • Cathedral City, CA
  • NPI 1306424148
  Medicare reassignment NPD

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

• Vacaville Healthcare Inc

  dba Vacaville Convalescent & Rehabilitation Center

  • Skilled Nursing Facility
  • Vacaville, CA
  • NPI 1114914355

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268611200000",
    "number": "1184729212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NUT TREE RD",
            "address_2": "SUITE 110",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874166",
            "telephone_number": "707-455-8724",
            "fax_number": "707-455-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NUT TREE RD",
            "address_2": "SUITE 110",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874166",
            "telephone_number": "707-455-8724",
            "fax_number": "707-455-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VADLAMUDI",
        "first_name": "GAUTAM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2010-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A 51500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A51500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vacaville Senior Assisted Living (Vacaville Village Senior Living)
• Vacaville Solano Services Corporation
• Vacaville Unified School District
• Vacaville Urgent Care Medical Group Inc (Vacaville Urgent Care)
• Kashanae Michelle Vaden
• Elayne Mariee Valasssopoulos, PSY.D
• Jose Santos Valdez I
• Jonathon Valeriote
• Valery D. Tarasenko, MD, Inc. (Advanced Pain Management Institute)
• Isabella Valine

• Family Medicine Physician in Vacaville, CA
• Providers in Vacaville, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.