Swapna V Phadnis MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SWAPNA V PHADNIS MD INC

Practice address

1315 S Grand Ave Ste 150
Glendora, CA 91740-5052

Phone

(626) 914-0174

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Swapna V Phadnis, MDNPI 1235420399

Title

Owner

Phone

(909) 560-7419

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Swapna Vayuvegula Phadnis, M.D.

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1235420399
  Medicare reassignment Care Compare group NPD Authorized official
• Merian Apolinario, NURSE PRACTITIONER

  • Nurse Practitioner
  • Chino, CA
  • NPI 1881347516

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Mara Jasmin Banuelos, FNP

  • Family Nurse Practitioner
  • Chino, CA
  • NPI 1619721578
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1609454297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 S GRAND AVE STE 150",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405052",
            "telephone_number": "626-914-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 S GRAND AVE STE 150",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917405052",
            "telephone_number": "626-914-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWAPNA V PHADNIS MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "PHADNIS",
        "authorized_official_first_name": "SWAPNA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-560-7419",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sudario Home Health Care, Inc.
• Agustinus Suhardja, MD
• Dallas Marie Sullivan
• Susan J. Lee, DMD, MD Inc
• Acacia Sutherland, PA-C
• Miriam Antonia Swartz, SLPA
• Anna Sweetman
• Gwendolyn Swire, MA, CCC SLP
• Lindsey Syto, RPH
• Virginia Sobejana Tabora, REGISTERED NURSE

• Family Medicine Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.