Active NPI
Sukhdev K Uppal MD Inc.
- Pediatrics Physician
- Corona, CA
National Provider Identifier
1487962353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A54106
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A541060 | Medicaid | CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0989184 | Sukhdev K Uppal, MD Inc | Certificate of waiver | Jul 18, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.