Individual provider Active NPI

Yugandhar Ramakrishna, AU.D., PH.D., CCC-A

  • Audiologist
  • Northridge, CA
National Provider Identifier
1568012672
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU3412 Issued in CA
Practice address
100 Monterey Hall 18111 Nordhoff Street
Northridge, CA 91330-0001
Phone
(818) 677-5510
NPI assigned
Sep 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU3412 CA Primary

Addresses

Primary practice location

100 Monterey Hall 18111 Nordhoff Street
Northridge, CA 91330-0001

Mailing address

345 Montery Hall 18111 Nordhoff Street
Northridge, CA 91330-0001
Phone (818) 677-5510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
AU3412CAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
California State University Northridge Audiologist CurrentSince May 19, 2024 Accepting new patients

Locations

18111 Nordhoff St
Rm 100
Northridge, CA 91330
Phone (818) 677-2856

18111 Nordhoff St
Northridge, CA 91330
Phone (818) 677-1200

18111 Nordhoff St
Rm 1
Northridge, CA 91330
Phone (818) 677-2856

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1568012672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MONTERY HALL 18111 NORDHOFF STREET",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913300001",
            "telephone_number": "818-677-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MONTEREY HALL 18111 NORDHOFF STREET",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913300001",
            "telephone_number": "818-677-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMAKRISHNA",
        "first_name": "YUGANDHAR",
        "name_prefix": "Dr.",
        "credential": "AU.D., PH.D., CCC-A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-19",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU3412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; 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.