Organization Active NPI

Harish Yalamanchili MD Inc

  • Surgery Physician
  • Corona del Mar, CA
National Provider Identifier
1376102152
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
HARISH YALAMANCHILI MD INC
Practice address
2121 E Coast Hwy # 150
Corona del Mar, CA 92625-1931
Phone
(949) 718-0905
Fax
(949) 209-0486
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Authorized official

Name
Harish Yalamanchili, MDNPI 1578874186
Title
Owner
Phone
(888) 258-3326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

2121 E Coast Hwy # 150
Corona del Mar, CA 92625-1931

Mailing address

23986 Aliso Creek Rd # 212
Laguna Niguel, CA 92677-3908
Phone (949) 718-0905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190722002432 CA Part B Supplier - Clinic/Group Practice 2062748585 Receives reassigned benefits from 2 practitioners
Practice locations: Corona del Mar, CA; Upland, CA

National Provider Directory

National Provider Directory

Locations

2121 E Coast Hwy
Ste 150
Corona del Mar, CA 92625
Phone (949) 520-0178

520 E Foothill Blvd
Ste C
Pomona, CA 91767
Phone (909) 398-4895

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639440000000",
    "number": "1376102152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23986 ALISO CREEK RD # 212",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926773908",
            "telephone_number": "949-718-0905",
            "fax_number": "949-209-0486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 E COAST HWY # 150",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926251931",
            "telephone_number": "949-718-0905",
            "fax_number": "949-209-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARISH YALAMANCHILI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A",
        "authorized_official_last_name": "YALAMANCHILI",
        "authorized_official_first_name": "HARISH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-258-3326",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona del Mar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.