Srividya Venkataraman MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A55317 Issued in CA

Legal business name

SRIVIDYA VENKATARAMAN MD INC

Practice address

3816 Woodruff Ave
#406
Long Beach, CA 90808-2147

Phone

(562) 497-9314

Fax

(562) 497-9315

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Srividya Venkataraman, M.D.NPI 1063522217

Title

President

Phone

(562) 497-9314

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Srividya Venkataraman, M.D.

  • Family Medicine Physician
  • Long Beach, CA
  • NPI 1063522217
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356429054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE",
            "address_2": "#406",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082147",
            "telephone_number": "562-497-9314",
            "fax_number": "562-497-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE",
            "address_2": "#406",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082147",
            "telephone_number": "562-497-9314",
            "fax_number": "562-497-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SRIVIDYA VENKATARAMAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VENKATARAMAN",
        "authorized_official_first_name": "SRIVIDYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-497-9314",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A55317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stevee Sprowl
• Theresa Spulecki
• Hilary Spyers-Duran, NP
• Lauren Squier, RD
• Jutara Srivali Teal, L.AC
• Cindy Srivijittrakarn
• Magdalena Madrzyk Sroka, PA-C
• St Antoine de Padoue Health Clinic Corp.
• St John Medical Group Inc
• St Mary Medical Center

• Family Medicine Physician in Long Beach, CA
• Providers in Long Beach, 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.