Sudha G Madabhushi MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A70292 Issued in CA

Legal business name

SUDHA G MADABHUSHI MD INC

Practice address

304 W Latham Ave
Hemet, CA 92543-4106

Phone

(951) 925-7170

Fax

(951) 925-7027

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Sudha G Madabhushi, M.D.NPI 1902990641

Title

President

Phone

(951) 929-6260

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ACCLAIM MEDICAL CARE INC Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Sudha G Madabhushi, M.D.

  • Internal Medicine Physician
  • Hemet, CA
  • NPI 1902990641
  Medicare reassignment NPD Authorized official
• Mai-Ching Chien, M.D.

  • Gastroenterology Physician
  • Hemet, CA
  • NPI 1053322701
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1215021936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925460661",
            "telephone_number": "951-925-7179",
            "fax_number": "951-765-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W LATHAM AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434106",
            "telephone_number": "951-925-7170",
            "fax_number": "951-925-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUDHA G MADABHUSHI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "MADABHUSHI",
        "authorized_official_first_name": "SUDHA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-929-6260",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A70292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCLAIM MEDICAL CARE INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cyrilla Strothers, NP
• Skyla Stuck, CCC-SLP
• Donna Sue Stump, RN
• Shaun P Suarez
• Subhi Ghani Sharif MD Inc
• Juliet Suen, MD
• Debi Sullivan
• Summerville at Cobbco, Inc.
• Summit Anesthesia Medical Group Inc
• Sun Ray Addictions Counseling & Ed

• Internal Medicine Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.