Individual provider Active NPI

Alamelu Subbu Nagappan, MD

  • Anesthesiology Physician
  • Riverside, CA
National Provider Identifier
1619950524
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A49548 Issued in CA
Practice address
7160 Brockton Ave
Riverside, CA 92506-3912
Phone
(951) 782-3801
Fax
(951) 328-9742
NPI assigned
Nov 23, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X A49548 CA Primary

Addresses

Primary practice location

7160 Brockton Ave
Riverside, CA 92506-3912

Mailing address

7160 Brockton Ave
Riverside, CA 92506-2620
Phone (951) 782-3801

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ14801ZOtherGROUP SITE LOCATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050315000378 CA Practitioner - Anesthesiology 3678528494 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A49548CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Medical Clinic, Inc Current Accepting new patients
Riverside Anesthesia Partners Inc Anesthesiology CurrentSince Feb 3, 2025 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Aug 1, 1991 Accepting new patients
RMC Surgery Center, LLC Past Accepting new patients

Locations

7160 Brockton Ave
Riverside, CA 92506
Phone (951) 782-3714

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

21634 Retreat Pkwy
Temescal Valley, CA 92883
Phone (951) 782-5157

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1619950524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7160 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062620",
            "telephone_number": "951-782-3801",
            "fax_number": "951-328-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7160 BROCKTON AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925063912",
            "telephone_number": "951-782-3801",
            "fax_number": "951-328-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGAPPAN",
        "first_name": "ALAMELU",
        "middle_name": "SUBBU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-23",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A49548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP SITE LOCATION",
            "identifier": "ZZZ14801Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.