Active NPI
Radha Iyengar, MD
- Pediatrics Physician
- Carlsbad, CA
National Provider Identifier
1265448112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A49273
- Practice address
- 3050 Madison St
Carlsbad, CA 92008-2310 - Phone
- (760) 720-7766
- Fax
- (760) 720-7204
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A49273 | CA | Primary |
Addresses
Primary practice location
3050 Madison St
Carlsbad, CA 92008-2310
Mailing address
3050 Madison St
Carlsbad, CA 92008-2310
Phone (760) 720-7766
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A49273 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-City Hospital | Past | Accepting new patients | |
| North County Health Project Inc | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- riyengar312971@direct.ochin.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- San Marcos, CA
- NPI 1245246917
-
- Federally Qualified Health Center (FQHC)
- Ramona, CA
- NPI 1073529681
-
- Clinical Medical Laboratory
- La Jolla, CA
- NPI 1427034990
-
- General Acute Care Hospital
- Oceanside, CA
- NPI 1801861190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204070400000",
"number": "1265448112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3050 MADISON ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082310",
"telephone_number": "760-720-7766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 MADISON ST",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920082310",
"telephone_number": "760-720-7766",
"fax_number": "760-720-7204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IYENGAR",
"first_name": "RADHA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2008-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A49273",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.