Sudha Reghunathan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A053595 Issued in CA

Practice address

3687 Las Posas Rd
Suite- H-187
Camarillo, CA 93010-1482

Phone

(805) 445-4189

Fax

(805) 445-9219

NPI assigned

Jan 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Dr. Sudha Reghu Nathan Professional name

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

Locations

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.

• Inpatient Specialists of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1952792475
  Medicare reassignment NPD

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1568518827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD",
            "address_2": "SUITE- H-187",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101482",
            "telephone_number": "805-445-4189",
            "fax_number": "805-445-9219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3687 LAS POSAS RD",
            "address_2": "SUITE- H-187",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101482",
            "telephone_number": "805-445-4189",
            "fax_number": "805-445-9219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGHUNATHAN",
        "first_name": "SUDHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A53595",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A053595",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A053595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUDHA",
            "last_name": "NATHAN",
            "middle_name": "REGHU",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brooke Redman
• Lawrence Perry Reed, DDS
• Martin Steuart Reed
• Therese Marie Reed, PHARMD
• Jessica Marie Reeder, LVN
• Megan Reider, NP
• Megan Rein
• Jennifer Reinhardt, M.S.
• Reliant Shuttle
• Renal Consultants of Ventura County, Inc

• Internal Medicine Physician in Camarillo, CA
• Providers in Camarillo, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.