Organization Active NPI

Sukhdev K Uppal MD Inc.

  • Pediatrics Physician
  • Corona, CA
National Provider Identifier
1487962353
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A54106 Issued in CA
Legal business name
SUKHDEV K UPPAL MD INC.
Practice address
800 Magnolia Ave
Suite 107
Corona, CA 92879-3123
Phone
(951) 372-0955
Fax
(951) 372-0918
NPI assigned
Sep 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Dr. Sukhdev Kaur Uppal, MD
Title
President
Phone
(951) 372-0955

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A54106 CA Primary

Addresses

Primary practice location

800 Magnolia Ave
Suite 107
Corona, CA 92879-3123

Mailing address

800 Magnolia Ave
Suite 107
Corona, CA 92879-3123
Phone (951) 372-0955

Other identifiers 1

IdentifierTypeStateIssuer
00A541060MedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0989184Sukhdev K Uppal, MD Inc800 Magnolia Avenue, Suite 107, Corona, CA 92879Certificate of waiverJul 18, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284422400000",
    "number": "1487962353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 MAGNOLIA AVE",
            "address_2": "SUITE 107",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793123",
            "telephone_number": "951-372-0955",
            "fax_number": "951-372-0918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MAGNOLIA AVE",
            "address_2": "SUITE 107",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928793123",
            "telephone_number": "951-372-0955",
            "fax_number": "951-372-0918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUKHDEV K UPPAL MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A",
        "authorized_official_last_name": "UPPAL",
        "authorized_official_first_name": "SUKHDEV",
        "authorized_official_middle_name": "KAUR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-372-0955",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A54106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A541060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.