Organization Active NPI

Garani S. Nadaraja, a Professional Corporation

  • Ambulatory Surgical Clinic/Center
  • Oakland, CA
National Provider Identifier
1518374354
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
A105932 Issued in CA
Legal business name
GARANI S. NADARAJA, A PROFESSIONAL CORPORATION
Practice address
744 52ND St
Multispecialty Clinic
Oakland, CA 94609-1810
Phone
(510) 428-3233
NPI assigned
Jul 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Authorized official

Name
Dr. Garani Shiranthana Nadaraja, M.D.
Title
Ceo
Phone
(510) 432-6005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X A105932 CA Primary

Addresses

Primary practice location

744 52ND St
Multispecialty Clinic
Oakland, CA 94609-1810

Mailing address

480 Fillmore St
Apt 3
San Francisco, CA 94117-3405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1405296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405296000000",
    "number": "1518374354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 FILLMORE ST",
            "address_2": "APT 3",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941173405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 52ND ST",
            "address_2": "MULTISPECIALTY CLINIC",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946091810",
            "telephone_number": "510-428-3233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARANI S. NADARAJA, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-14",
        "last_updated": "2014-07-14",
        "status": "A",
        "authorized_official_last_name": "NADARAJA",
        "authorized_official_first_name": "GARANI",
        "authorized_official_middle_name": "SHIRANTHANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-432-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "A105932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2014; 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.