R Sabaratnam MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A29353

Legal business name

R SABARATNAM MD INC

Doing business as

Granada Family Medical Group

Practice address

17701 Chatsworth St
Granada Hills, CA 91344-5604

Phone

(818) 363-3121

Fax

(818) 366-1728

NPI assigned

Jan 2, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sekilar Rudra Sabaratnam, MDNPI 1518024405

Title

President

Phone

(818) 363-3121

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Granada Family Medical Group Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sekilar Rudra Sabaratnam, MD

  • Family Medicine Physician
  • Granada Hills, CA
  • NPI 1518024405
  Authorized official Same address or phone

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336206036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17701 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445604",
            "telephone_number": "818-363-3121",
            "fax_number": "818-366-1728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17701 CHATSWORTH ST",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913445604",
            "telephone_number": "818-363-3121",
            "fax_number": "818-366-1728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R SABARATNAM MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SABARATNAM",
        "authorized_official_first_name": "SEKILAR",
        "authorized_official_middle_name": "RUDRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-363-3121",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": "A29353",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0007030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granada Family Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Family Medicine Physician in Granada Hills, CA
• Providers in Granada Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.