Active NPI
Amsavani Kandaswamy, M.D
- Family Medicine Physician
- Banning, CA
National Provider Identifier
1588898431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A 107128
- Practice address
- 300 S Highland Springs Ave
Banning, CA 92220-6504 - Phone
- (951) 769-5378
- NPI assigned
- May 6, 2009
- Last updated
- Sep 17, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A 107128 | CA | Primary |
Addresses
Primary practice location
300 S Highland Springs Ave
Banning, CA 92220-6504
Mailing address
1264 Buttercup CT
Mentone, CA 92359-9531
Phone (209) 819-9254
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A 107128 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241568000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253145600000",
"number": "1588898431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1264 BUTTERCUP CT",
"city": "MENTONE",
"state": "CA",
"postal_code": "923599531",
"telephone_number": "209-819-9254"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 S HIGHLAND SPRINGS AVE",
"city": "BANNING",
"state": "CA",
"postal_code": "922206504",
"telephone_number": "951-769-5378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDASWAMY",
"first_name": "AMSAVANI",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-06",
"last_updated": "2009-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A 107128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Banning, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2009; 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.