NPIMap

Organization Active NPI

Sirish Nakka MD Inc

  • Sleep Specialist (PhD)
  • Santa Cruz, CA
National Provider Identifier
1609579069
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Specialist (PhD)Taxonomy code 173F00000X
Legal business name
SIRISH NAKKA MD INC
Practice address
1665 Dominican Way Ste 222
Santa Cruz, CA 95065-1515
Phone
(844) 387-5337
NPI assigned
Mar 24, 2023
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Sirish Nakka, MDNPI 1619406725
Title
Physician/Owner
Phone
(844) 387-5337

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Specialist (PhD) 173F00000X NU Primary

Addresses

Primary practice location

1665 Dominican Way Ste 222
Santa Cruz, CA 95065-1515

Mailing address

1665 Dominican Way Ste 222
Santa Cruz, CA 95065-1515
Phone (844) 387-5337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231204002899 CA Part B Supplier - Clinic/Group Practice 6608224423 Receives reassigned benefits from 10 practitioners
Practice locations: Freedom, CA; Monterey, CA; Santa Cruz, CA; Sunnyvale, CA

National Provider Directory

National Provider Directory

Locations

150 Carnation Dr
Ste 4
Freedom, CA 95019
Phone (408) 724-0440

101 Wilson Rd
Ste D
Monterey, CA 93940
Phone (844) 387-5337

260 S Sunnyvale Ave
Ste 6
Sunnyvale, CA 94086
Phone (844) 387-5337

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1609579069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY STE 222",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651515",
            "telephone_number": "844-387-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 DOMINICAN WAY STE 222",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651515",
            "telephone_number": "844-387-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRISH NAKKA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "NAKKA",
        "authorized_official_first_name": "SIRISH",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "844-387-5337",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173F00000X",
            "taxonomy_group": "",
            "desc": "Sleep Specialist, PhD",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; 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.