NPIMap

Organization Active NPI

P Dhanapala Rodrigo MD a Medical Corp

  • Anesthesiology Physician
  • Orange, CA
National Provider Identifier
1528214525
Registry record updated Nov 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A37525 Issued in CA
Legal business name
P DHANAPALA RODRIGO MD A MEDICAL CORP
Practice address
280 S Main St
Suite 100
Orange, CA 92868-3852
Phone
(714) 704-1900
Fax
(714) 704-1912
NPI assigned
Aug 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2008

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

Authorized official

Name
Dr. Pulahinge Dhanapala Rodrigo, M.D
Title
President/ M.D
Phone
(714) 544-5653

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X A37525 CA Primary

Addresses

Primary practice location

280 S Main St
Suite 100
Orange, CA 92868-3852

Mailing address

PO Box 1809
Orange, CA 92856-0809
Phone (714) 560-1580

Other identifiers 1

IdentifierTypeStateIssuer
00A37525MedicaidCA

National Provider Directory

National Provider Directory

Locations

280 S Main St
Ste 5851
Orange, CA 92868
Phone (714) 704-1900

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227052800000",
    "number": "1528214525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1809",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928560809",
            "telephone_number": "714-560-1580",
            "fax_number": "714-560-1585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 S MAIN ST",
            "address_2": "SUITE 100",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683852",
            "telephone_number": "714-704-1900",
            "fax_number": "714-704-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P DHANAPALA RODRIGO MD A MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-11-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGO",
        "authorized_official_first_name": "PULAHINGE",
        "authorized_official_middle_name": "DHANAPALA",
        "authorized_official_title_or_position": "PRESIDENT/ M.D",
        "authorized_official_telephone_number": "714-544-5653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A37525",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A37525",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2008; 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.