Active NPI
Mamatha R Sadda, M.D.
- Gastroenterology Physician
- Los Angeles, CA
National Provider Identifier
1255412854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A82259
- Practice address
- 8700 Beverly Blvd
Los Angeles, CA 90048-1865 - Phone
- (310) 967-1884
- Fax
- (310) 967-1744
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A82259 | CA | Primary |
Addresses
Primary practice location
8700 Beverly Blvd
Los Angeles, CA 90048-1865
Mailing address
PO Box 512717
Los Angeles, CA 90051-0717
Phone (310) 967-1884
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82259 | CA | MD | Pharmacist |
| A82259 | CA | MD | Gastroenterology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255412854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512717",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900510717",
"telephone_number": "310-967-1884",
"fax_number": "310-967-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8700 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900481865",
"telephone_number": "310-967-1884",
"fax_number": "310-967-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SADDA",
"first_name": "MAMATHA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A82259",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.