Active NPI
Sarada Mylavarapu, M.D., a Professional Medical Corporation
- Anesthesiology Physician
- Fountain Valley, CA
National Provider Identifier
1528159969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A44934
- Legal business name
- SARADA MYLAVARAPU, M.D., A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 17100 Euclid St
Fountain Valley, CA 92708-4004 - Phone
- (800) 883-7243
- NPI assigned
- Sep 28, 2006
- Last updated
- Aug 17, 2009
- 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. Sarada Mylavarapu, M.D.
- Title
- President
- Phone
- (800) 883-7243
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A44934 | CA | Primary |
Addresses
Primary practice location
17100 Euclid St
Fountain Valley, CA 92708-4004
Mailing address
210 N Tustin Ave
Santa Ana, CA 92705-3807
Phone (800) 883-7243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A449340 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Fountain Valley, CA
- NPI 1376502195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250467200000",
"number": "1528159969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "800-883-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17100 EUCLID ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927084004",
"telephone_number": "800-883-7243"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARADA MYLAVARAPU, M.D., A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-28",
"last_updated": "2009-08-17",
"status": "A",
"authorized_official_last_name": "MYLAVARAPU",
"authorized_official_first_name": "SARADA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-883-7243",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A44934",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A449340",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.