Active NPI
Valley Sunshine Medical Associates Inc
- Urology Physician
- Brawley, CA
National Provider Identifier
1386143147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- Legal business name
- VALLEY SUNSHINE MEDICAL ASSOCIATES INC
- Practice address
- 751 W Legion Rd
Brawley, CA 92227-7732 - Phone
- (760) 351-3444
- Fax
- (760) 351-3450
- NPI assigned
- Feb 7, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramaiah Indudhara, MD
- Title
- Ceo
- Phone
- (760) 450-6954
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | Primary |
Addresses
Primary practice location
751 W Legion Rd
Brawley, CA 92227-7732
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Other practice location 1
207 W Legion Rd
Brawley, CA 92227-7780
Phone (760) 351-3333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
751 W Legion Rd
Ste 301
Brawley, CA 92227
Phone (760) 351-3600
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Brawley, CA
- NPI 1538116215
-
- Family Nurse Practitioner
- Brawley, CA
- NPI 1538608856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538006400000",
"number": "1386143147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 W LEGION RD",
"city": "BRAWLEY",
"state": "CA",
"postal_code": "922277732",
"telephone_number": "760-351-3444",
"fax_number": "760-351-3450"
}
],
"practiceLocations": [
{
"address_1": "207 W Legion Rd",
"address_purpose": "LOCATION",
"city": "Brawley",
"state": "CA",
"postal_code": "922277780",
"country_code": "US",
"telephone_number": "760-351-3333",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VALLEY SUNSHINE MEDICAL ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-07",
"last_updated": "2018-09-27",
"status": "A",
"authorized_official_last_name": "INDUDHARA",
"authorized_official_first_name": "RAMAIAH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "760-450-6954",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brawley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.