Organization Active NPI

Raman Nambisan, MD, Inc a Medical Corporation

  • Surgical Oncology Physician
  • Pleasanton, CA
National Provider Identifier
1477672590
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
A37212 Issued in CA
Legal business name
RAMAN NAMBISAN, MD, INC A MEDICAL CORPORATION
Practice address
5575 W Las Positas Blvd
270
Pleasanton, CA 94588-5801
Phone
(925) 460-3883
Fax
(925) 460-3859
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary K Punches
Title
Office Manager
Phone
(925) 460-3883

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086X0206X A37212 CA Primary

Addresses

Primary practice location

5575 W Las Positas Blvd
270
Pleasanton, CA 94588-5801

Mailing address

5575 W Las Positas Blvd
270
Pleasanton, CA 94588-5801
Phone (925) 460-3883

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477672590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 W LAS POSITAS BLVD",
            "address_2": "270",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885801",
            "telephone_number": "925-460-3883",
            "fax_number": "925-460-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 W LAS POSITAS BLVD",
            "address_2": "270",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885801",
            "telephone_number": "925-460-3883",
            "fax_number": "925-460-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMAN NAMBISAN, MD, INC A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUNCHES",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-460-3883"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "CA",
            "license": "A37212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.