Organization Active NPI

Urvashi V Sura MD Inc

  • Specialist
  • Rancho Cucamonga, CA
National Provider Identifier
1417259557
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
URVASHI V SURA MD INC
Practice address
7365 Carnelian St Ste 125
Rancho Cucamonga, CA 91730-1156
Phone
(909) 980-7743
NPI assigned
Nov 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Authorized official

Name
Urvashi V Surar
Title
MD
Phone
(909) 980-7743

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

7365 Carnelian St Ste 125
Rancho Cucamonga, CA 91730-1156

Mailing address

7365 Carnelian St Ste 125
Rancho Cucamonga, CA 91730-1156
Phone (909) 980-7743

Other identifiers 2

IdentifierTypeStateIssuer
1942219936OtherCANPI
00A397030MedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0928540Urvashi Sura MD7365 Carnelian Street, Ste 125, Rancho Cucamonga, CA 91730Certificate of waiverSep 3, 2026

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1290384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1290384000000",
    "number": "1417259557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 125",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301156",
            "telephone_number": "909-980-7743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7365 CARNELIAN ST STE 125",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917301156",
            "telephone_number": "909-980-7743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URVASHI V SURA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-22",
        "last_updated": "2010-11-22",
        "status": "A",
        "authorized_official_last_name": "SURAR",
        "authorized_official_first_name": "URVASHI",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "909-980-7743"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1942219936",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A397030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.