Active NPI
Syam Vunnamadala, M.D., Inc
- Specialist
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A64189
- Legal business name
- SYAM VUNNAMADALA, M.D., INC
- Practice address
- 1211 W la Palma Ave
310
Anaheim, CA 92801-2815 - Phone
- (714) 491-3928
- NPI assigned
- Feb 8, 2008
- 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
- Syam Vunnamadala, M.D.
- Title
- Owner
- Phone
- (714) 491-3928
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 |
|---|---|---|---|---|
| Specialist | 174400000X | A64189 | CA | Primary |
Addresses
Primary practice location
1211 W la Palma Ave
310
Anaheim, CA 92801-2815
Mailing address
1211 W la Palma Ave
310
Anaheim, CA 92801-2815
Phone (714) 491-3928
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A641890 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Syam P Vunnamadala Medical Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Anaheim, CA
- NPI 1366983892
Locations
1211 W La Palma Ave
Ste 310
Anaheim, CA 92801
Phone (714) 491-3928
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Anaheim, CA
- NPI 1508978909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202428800000",
"number": "1447438692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE",
"address_2": "310",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012815",
"telephone_number": "714-491-3928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W LA PALMA AVE",
"address_2": "310",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928012815",
"telephone_number": "714-491-3928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYAM VUNNAMADALA, M.D., INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-08",
"last_updated": "2008-02-08",
"status": "A",
"authorized_official_last_name": "VUNNAMADALA",
"authorized_official_first_name": "SYAM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-491-3928",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "A64189",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A641890",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.