Organization Active NPI

Ramu Thiagarajan MD Professional Corporation

  • Neurology Physician
  • Porterville, CA
National Provider Identifier
1184820995
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A95502 Issued in CA
Legal business name
RAMU THIAGARAJAN MD PROFESSIONAL CORPORATION
Practice address
382 North Pearson Dr.
Porterville, CA 93257-3368
Phone
(559) 783-0100
Fax
(559) 783-0200
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Dr. Ramu Thiagarajan, M.D.NPI 1841203783
Title
President
Phone
(559) 783-0100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromuscular Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0008X A95502 CA
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X A95502 CA Primary

Addresses

Primary practice location

382 North Pearson Dr.
Porterville, CA 93257-3368

Mailing address

382 North Pearson Dr.
Porterville, CA 93257-3368
Phone (559) 783-0100

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ69517ZOtherCABLUE SHIELD PIN
00A955020MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071004000433 CA Part B Supplier - Clinic/Group Practice 1759476856 Receives reassigned benefits from 1 practitioner
Practice locations: Porterville, CA

National Provider Directory

National Provider Directory

Locations

382 Pearson Dr
Porterville, CA 93257
Phone (559) 783-0100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1184820995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 NORTH PEARSON DR.",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573368",
            "telephone_number": "559-783-0100",
            "fax_number": "559-783-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 NORTH PEARSON DR.",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573368",
            "telephone_number": "559-783-0100",
            "fax_number": "559-783-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMU THIAGARAJAN MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "THIAGARAJAN",
        "authorized_official_first_name": "RAMU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-783-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neuromuscular Medicine",
            "state": "CA",
            "license": "A95502",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A95502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "ZZZ69517Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A955020",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.