Renjit Sundharradas MD a Professional Corporation

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

A96240 Issued in CA

Legal business name

RENJIT SUNDHARRADAS MD A PROFESSIONAL CORPORATION

Practice address

1030 La Bonita Ave
Suite 316
San Marcos, CA 92078-5291

Phone

(858) 216-4425

Fax

(858) 216-4371

NPI assigned

Dec 2, 2011

Organization subpart

No

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

Authorized official

Name

Renjit Allen Sundharadas, MD

Title

Owner

Phone

(858) 216-4425

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1322784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339459200000",
    "number": "1467720672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2858",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935392858",
            "telephone_number": "858-216-4425",
            "fax_number": "858-216-4371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 LA BONITA AVE",
            "address_2": "SUITE 316",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920785291",
            "telephone_number": "858-216-4425",
            "fax_number": "858-216-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENJIT SUNDHARRADAS MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-02",
        "last_updated": "2012-06-12",
        "status": "A",
        "authorized_official_last_name": "SUNDHARADAS",
        "authorized_official_first_name": "RENJIT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "858-216-4425",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A96240",
            "primary": false
        },
        {
            "code": "2081P0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine",
            "state": "CA",
            "license": "A96240",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "A96240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Lloyd Reich, DC
• Jody L Reifenberger, PA
• Daniel Reinke, MA
• Jenna Reis
• Anna Rendon
• Susanne Reno, LMFT
• Lorena Renteria
• Reppas & El-Maasri Dental Inc.
• Constantine Nicolas Reppas, D.M.D
• Mireya Resendez

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; 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.