NPIMap

Individual provider Active NPI

Lalitha M Vakkalanka, M.D.

  • Internal Medicine Physician
  • Fullerton, CA
National Provider Identifier
1194755959
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A053202 Issued in CA
Practice address
140 E Commonwealth Ave Ste 100
Fullerton, CA 92832-1905
Phone
(714) 773-4111
Fax
(714) 773-4222
NPI assigned
Jul 4, 2006
Last updated
Mar 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A053202 CA Primary

Addresses

Primary practice location

140 E Commonwealth Ave Ste 100
Fullerton, CA 92832-1905

Mailing address

140 E Commonwealth Ave Ste 100
Fullerton, CA 92832-1905
Phone (714) 572-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051109001200 CA Practitioner - Internal Medicine 9436177284 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Area Community HealthGroup PAC ID 1658349824, shared by 11 NPIs, 106 clinicians

Practice addresses (Care Compare)

9460 N Name Uno
Gilroy, CA 95020-3536
Phone (408) 729-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A053202CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cajon Medical Group, PC Internal Medicine CurrentSince Oct 14, 2021 Accepting new patients
Health 'R' US Current Accepting new patients
Cajon Medical Group PC Internal Medicine CurrentSince Oct 14, 2021 Accepting new patients
Sunny Hills Medical Center Inc. Internal Medicine CurrentSince Oct 26, 2022 Accepting new patients
Cajon Medical Group PC Internal Medicine Current Accepting new patients
Cajon Medical Group PC Internal Medicine PastSince Aug 18, 2019 Accepting new patients
El Camino Hospital Past Accepting new patients
Bay Area Hospital District Past Accepting new patients
Evergreen Family Medicine, PC Past Accepting new patients
Children's Hospital Los Angeles Mental Health Past Accepting new patients
Centennial Medical Group Inc. Past Accepting new patients
Mercy Healthcare, Inc Past Accepting new patients
Bay Area Community Health Past Accepting new patients
Chico Immediate Care Medical Center, Inc. Past Accepting new patients

Locations

12555 Central Ave
Ste A
Chino, CA 91710

140 E Commonwealth Ave
Ste 100
Fullerton, CA 92832
Phone (714) 572-3900

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

1815 W Redlands Blvd
Redlands, CA 92373

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1334/brand/1/csg/42/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1194755959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E COMMONWEALTH AVE STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321905",
            "telephone_number": "714-572-3900",
            "fax_number": "714-572-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E COMMONWEALTH AVE STE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321905",
            "telephone_number": "714-773-4111",
            "fax_number": "714-773-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAKKALANKA",
        "first_name": "LALITHA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A053202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.