Padma Nanduri, M.D., F.A.C.S.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A73131 Issued in CA

Practice address

5330 Carroll Canyon Rd
Suite 210
San Diego, CA 92121-3756

Phone

(858) 450-1010

Fax

(858) 450-9451

NPI assigned

Sep 23, 2005

Reactivated

Mar 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: pnanduri71399@scrippshlth.medalliesdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1528054640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 CARROLL CANYON RD",
            "address_2": "SUITE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213756",
            "telephone_number": "858-450-1010",
            "fax_number": "858-450-9451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 CARROLL CANYON RD",
            "address_2": "SUITE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213756",
            "telephone_number": "858-450-1010",
            "fax_number": "858-450-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NANDURI",
        "first_name": "PADMA",
        "credential": "M.D., F.A.C.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-23",
        "last_updated": "2016-12-21",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A73131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A731310",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy E Greene PHD Apc
• Nancy G Cohen
• Nancy R. Kollisch, M.D., Inc.
• Shivani Nandakumar
• Cambria Marie Nanduri
• Ramachander Nanduri, M.D.,
• Yolanda Nangpi, RDN
• Aaron Richard Nannini, BA
• Brandon Nanquil
• Ashneek Singh Nanua, BA

• Ophthalmology Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.