Srinidhi Ekkati, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA51846 Issued in CA

Practice address

2250 S Main St
Suite 201
Corona, CA 92882-2534

Phone

(951) 734-4880

Fax

(951) 734-7963

NPI assigned

Jun 20, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern California Physician Network, IncGroup PAC ID 4880910405, 8 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Corona Regional Medical Center Hospital, Corona, CA, CCN 050329

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Southern California Physician Network, Inc

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1083002075
  Medicare reassignment Care Compare group
• Chicago Heart Rhythm LLC

  • Clinical Cardiac Electrophysiology Physician
  • Chicago, IL
  • NPI 1811174394
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Uhs-Corona Inc

  • General Acute Care Hospital
  • Corona, CA
  • NPI 1457347239
  Care Compare affiliation

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1316108491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822534",
            "telephone_number": "951-734-4880",
            "fax_number": "951-734-7963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 S MAIN ST",
            "address_2": "SUITE 201",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928822534",
            "telephone_number": "951-734-4880",
            "fax_number": "951-734-7963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKKATI",
        "first_name": "SRINIDHI",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-20",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA51846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Egyptian Inc
• Egyptian Inc
• Ehabsamaan DDS Inc
• Eikerbee, Inc
• Ej Politoske MD Inc
• Mohamad El Najm
• Khaled El Said, M.D.
• Sylvana A Elali, LMFT
• Tasneem J Elassadi
• Richeon M Eledge, D.C.

• Medical Physician Assistant in Corona, CA
• Providers in Corona, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.
• 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.