Siva Prasad Mullangi MD a Professional Medical Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A64112 Issued in CA

Legal business name

SIVA PRASAD MULLANGI MD A PROFESSIONAL MEDICAL CORPORATION

Practice address

5365 Walnut Ave Ste I
Chino, CA 91710

Phone

(909) 315-6399

Fax

(909) 315-6696

NPI assigned

May 6, 2013

Last updated

May 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Siva P Mullangi, MD

Title

President

Phone

(909) 912-4353

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526428800000",
    "number": "1568807436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 898",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917090030",
            "telephone_number": "909-912-4353",
            "fax_number": "909-626-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5365 WALNUT AVE STE I",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "91710",
            "telephone_number": "909-315-6399",
            "fax_number": "909-315-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIVA PRASAD MULLANGI MD A PROFESSIONAL MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2018-05-16",
        "status": "A",
        "authorized_official_last_name": "MULLANGI",
        "authorized_official_first_name": "SIVA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-912-4353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A64112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabina Singh
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• Lee Singleton
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• Carl W. Smith, M.D.
• Imani Taja Smith, ASW
• La Vern Smith, PHARM. D.

• Surgery Physician in Chino, CA
• Providers in Chino, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2018; 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.