Venkat R Vangala, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

00A406660 Issued in CA

Practice address

18002 Highway 18
Apple Valley, CA 92307-2125

Phone

(706) 946-6000

Fax

(760) 242-3502

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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.

• Venkat Reddy-Vangala M D Inc

  • Urology Physician
  • Apple Valley, CA
  • NPI 1598927816
  NPD (past) Authorized official
• Venkat Reddy Vangala M.D. Inc

  • Ambulatory Surgical Clinic/Center
  • Apple Valley, CA
  • NPI 1629265715
  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1376576066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 SVL BOX",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955132",
            "telephone_number": "760-946-6000",
            "fax_number": "760-242-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072125",
            "telephone_number": "706-946-6000",
            "fax_number": "760-242-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANGALA",
        "first_name": "VENKAT",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "00A406660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A406660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarai Valdovinos
• Anna Valencia
• Valley Crest Memory Care LLC
• Valley Imaging
• Omar John Vallez
• Daisy Vargas Gonzalez, PPS - 230143391
• Jonathan Rolando Vargas-Boteo, PHARM.D
• Ana Maria Vargas
• Erica Taylor Vargas
• Melissa Vargas, PA-C

• Urology Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.