Active NPI
Sundar Natarajan, M.D.
- Internal Medicine Physician
- Stockton, CA
National Provider Identifier
1588794085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A84407
- Practice address
- 1800 N California St
Stockton, CA 95204-6019 - Phone
- (209) 534-4127
- NPI assigned
- Mar 6, 2007
- Last updated
- Jun 17, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A84407 | CA | Primary |
Addresses
Primary practice location
1800 N California St
Stockton, CA 95204-6019
Mailing address
PO Box 1974
Stockton, CA 95201-1974
Phone (209) 534-4127
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A84407 | CA | MD | Internal Medicine Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Stockton, CA
- NPI 1750529517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245196800000",
"number": "1588794085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1974",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952011974",
"telephone_number": "209-534-4127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 N CALIFORNIA ST",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952046019",
"telephone_number": "209-534-4127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NATARAJAN",
"first_name": "SUNDAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2009-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A84407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
- Subrahmanyam Nasika, M.D.
- Desiree Nason
- Niki Nastis
- Sheila Natali
- Gurushankar Natarajan
- Nathan a. Kludt, MD, Inc (Plastic Surgery Center of Stockton)
- National Seating & Mobility Inc
- National Surgical Centers Stockton, LLC
- National Vision Inc (America's Best Contacts & Eyeglasses)
- National Vision, Inc. (Eyeglass World)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.