Active NPI
Ujjala Moolani, MD Inc.
- Nephrology Physician
- Chula Vista, CA
National Provider Identifier
1407503055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- UJJALA MOOLANI, MD INC.
- Practice address
- 855 Third Ave Ste 3330
Chula Vista, CA 91911-1350 - Phone
- (619) 745-1031
- Fax
- (619) 745-1032
- NPI assigned
- Mar 3, 2022
- Last updated
- Sep 6, 2024
- 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
- Ujjala Moolani, MD
- Title
- Owner
- Phone
- (586) 354-8816
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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
855 Third Ave Ste 3330
Chula Vista, CA 91911-1350
Mailing address
855 Third Ave Ste 3330
Chula Vista, CA 91911-1350
Phone (619) 745-1031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646265600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725580800000",
"number": "1407503055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 THIRD AVE STE 3330",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111350",
"telephone_number": "619-745-1031",
"fax_number": "619-745-1032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 THIRD AVE STE 3330",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111350",
"telephone_number": "619-745-1031",
"fax_number": "619-745-1032"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UJJALA MOOLANI, MD INC.",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-03",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A",
"authorized_official_last_name": "MOOLANI",
"authorized_official_first_name": "UJJALA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "586-354-8816",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; 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.