Individual provider Active NPI

Usha Vallamdas, MD

  • Pediatrics Physician
  • Brentwood, CA
National Provider Identifier
1447437991
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A102549 Issued in CA
Practice address
2400 Balfour Rd Ste 302
Brentwood, CA 94513-4955
Phone
(905) 684-7443
Fax
(925) 684-4591
NPI assigned
Jan 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A102549 CA Primary

Addresses

Primary practice location

2400 Balfour Rd Ste 302
Brentwood, CA 94513-4955

Mailing address

2400 Balfour Rd Ste 302
Brentwood, CA 94513-4955
Phone (925) 684-7443

Other identifiers 1

IdentifierTypeStateIssuer
A102549OtherCAMEDICAL LICENSE

Other names 1

  • Sri Usha Devi Rachabattula Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Past Accepting new patients
John Muir Health Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: uvallamdas20698@ehr.johnmuirhealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1447437991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 BALFOUR RD STE 302",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134955",
            "telephone_number": "925-684-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 BALFOUR RD STE 302",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134955",
            "telephone_number": "905-684-7443",
            "fax_number": "925-684-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLAMDAS",
        "first_name": "USHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-28",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A102549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A102549",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRI USHA",
            "last_name": "RACHABATTULA",
            "middle_name": "DEVI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.