Dasari Medical Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A48000 Issued in CA

Legal business name

DASARI MEDICAL CORPORATION

Practice address

1620 Pennsylvania Ave
D
Fairfield, CA 94533-3551

Phone

(707) 421-2229

Fax

(707) 428-3764

NPI assigned

Oct 13, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Padma Dasari, M.D.

Title

Ceo

Phone

(707) 421-2229

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1548595309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 PENNSYLVANIA AVE",
            "address_2": "D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333551",
            "telephone_number": "707-421-2229",
            "fax_number": "707-428-3764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 PENNSYLVANIA AVE",
            "address_2": "D",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333551",
            "telephone_number": "707-421-2229",
            "fax_number": "707-428-3764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DASARI MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "DASARI",
        "authorized_official_first_name": "PADMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "707-421-2229",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A48000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meshia R Darling, N.P.
• Chantel Dartez
• Priyanka Das
• Sorabh Das, DDS
• Jeralyn Dasalla
• Padma Dasari, M D
• Terrial S Davenport, LCSW
• David a. Sestero, DDS, Inc.
• David F la Rochelle MD a Medical Corporation
• David R. Gilliam M.D. Inc

• Primary Care Clinic/Center in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.

Verify at the official NPI Registry.