Individual provider Active NPI

Venkata Siva Ramakrishna Dandamudi, M.D

  • Neurology Physician
  • Bakersfield, CA
National Provider Identifier
1184873762
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
246243 Issued in MA
Practice address
3838 San Dimas St Ste A140
Bakersfield, CA 93301-1151
Phone
(661) 632-7126
NPI assigned
Sep 18, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 246243 MA Primary

Addresses

Primary practice location

3838 San Dimas St Ste A140
Bakersfield, CA 93301-1151

Mailing address

PO Box 976
Bakersfield, CA 93302-0976
Phone (617) 636-5848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, SD, ND3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160210001016 CA Practitioner - Neurology 8729266234 Reassigns benefits to 4 organizations
I20160719001438 SD Practitioner - Neurology 8729266234 Reassigns benefits to 2 organizations
I20170124003200 ND Practitioner - Neurology 8729266234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians
Innovis Health LLCGroup PAC ID 9931298155, 561 clinicians
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians
United Neuroscience IncGroup PAC ID 3678872421, 7 clinicians

Practice addresses (Care Compare)

1700 Mount Vernon Ave
Bakersfield, CA 93306-4018
Phone (661) 326-2000

3000 32ND Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000

3838 San Dimas St
Suite A140
Bakersfield, CA 93301-1151
Phone (661) 998-1843

9330 Stockdale Hwy
Suite 200
Bakersfield, CA 93311-3615
Phone (661) 324-0500

Hospital & facility affiliations

  • Essentia Health Hospital, Fargo, ND, CCN 350070
  • Bakersfield Memorial Hospital Hospital, Bakersfield, CA, CCN 050036
  • Adventist Health Bakersfield Hospital, Bakersfield, CA, CCN 050455
  • Mercy Hospital Hospital, Bakersfield, CA, CCN 050295
  • Essentia Health St Mary'S Medical Center Hospital, Duluth, MN, CCN 240002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC CurrentSince Jan 9, 2017 Accepting new patients
Sanford Clinic Current Accepting new patients
Sanford Clinic CurrentSince Jun 1, 2016 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Oct 20, 2023 Accepting new patients
Kern County Hospital Authority CurrentSince Jul 1, 2016 Accepting new patients
Capture Neurological Solutions Current Accepting new patients
Innovis Health LLC CurrentSince May 1, 2019 Accepting new patients
Innovis Health, LLC Current Accepting new patients
United Neuroscience, Inc Neurology CurrentSince Mar 23, 2016 Accepting new patients
Sanford Medical Center CurrentSince Jun 1, 2016 Accepting new patients
The Duluth Clinic, LTD CurrentSince Oct 20, 2023 Accepting new patients
Sanford Clinic CurrentSince Jun 1, 2016 Accepting new patients
Innovis Health LLC CurrentSince Jan 9, 2017 Accepting new patients

Locations

9330 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 664-0100

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

1111 Columbus St
Bakersfield, CA 93305
Phone (661) 326-5052

2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283

3838 San Dimas St
Ste A140
Bakersfield, CA 93301
Phone (661) 327-4647

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

1700 Mount Vernon Ave
Rm 1241
Bakersfield, CA 93306
Phone (661) 326-2220

1010 Murray Ave
Sn Luis Obisp, CA 93405
Phone (805) 546-7600

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

1321 W 22nd St
Sioux Falls, SD 57105
Phone (605) 328-3485

4405 E 26th St
Sioux Falls, SD 57103
Phone (605) 328-9000

1305 W 18th St
Sioux Falls, SD 57105
Phone (605) 312-7300

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 6

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": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1184873762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 976",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933020976",
            "telephone_number": "617-636-5848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 SAN DIMAS ST STE A140",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011151",
            "telephone_number": "661-632-7126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDAMUDI",
        "first_name": "VENKATA",
        "middle_name": "SIVA RAMAKRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MA",
            "license": "246243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.