Organization Active NPI

Center of Excellence in Diabetes and Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Sacramento, CA
National Provider Identifier
1437447521
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
CENTER OF EXCELLENCE IN DIABETES AND ENDOCRINOLOGY
Practice address
3814 Auburn Blvd
Suite 72
Sacramento, CA 95821-2123
Phone
(916) 426-1902
Fax
(916) 426-1940
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Dr. Gnanagurudasan Prakasam, M.D.
Title
President
Phone
(913) 733-0888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

3814 Auburn Blvd
Suite 72
Sacramento, CA 95821-2123

Mailing address

3814 Auburn Blvd
Suite 72
Sacramento, CA 95821-2123
Phone (916) 426-1902

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1437447521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 AUBURN BLVD",
            "address_2": "SUITE 72",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212123",
            "telephone_number": "916-426-1902",
            "fax_number": "916-426-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 AUBURN BLVD",
            "address_2": "SUITE 72",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212123",
            "telephone_number": "916-426-1902",
            "fax_number": "916-426-1940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER OF EXCELLENCE IN DIABETES AND ENDOCRINOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "PRAKASAM",
        "authorized_official_first_name": "GNANAGURUDASAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "913-733-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.