Active NPI
Sriram Mummaneni, MD, MPH
- Occupational Medicine Physician
- Woodland Hills, CA
National Provider Identifier
1295927127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- A73632
- Practice address
- 23018 Ventura Blvd
Woodland Hills, CA 91364-1106 - Phone
- (818) 225-8444
- Fax
- (818) 591-2520
- NPI assigned
- Aug 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | A73632 | CA | Primary |
Addresses
Primary practice location
23018 Ventura Blvd
Woodland Hills, CA 91364-1106
Mailing address
23018 Ventura Blvd
Woodland Hills, CA 91364-1106
Phone (818) 225-8444
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A73632 | CA | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1295927127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23018 VENTURA BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641106",
"telephone_number": "818-225-8444",
"fax_number": "818-591-2520"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23018 VENTURA BLVD",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913641106",
"telephone_number": "818-225-8444",
"fax_number": "818-591-2520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUMMANENI",
"first_name": "SRIRAM",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-14",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "CA",
"license": "A73632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.