Venkat Reddy Vangala M.D. Inc

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

051183 Issued in CA

Legal business name

VENKAT REDDY VANGALA M.D. INC

Doing business as

Hi-Desert Surgery Center

Practice address

18002 Highway 18
Apple Valley, CA 92307

Phone

(760) 242-5505

Fax

(760) 242-3502

NPI assigned

Oct 2, 2007

Last updated

Feb 27, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nriupama R Vangala

Title

Admin

Phone

(760) 242-5505

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hi-Desert Surgery Center Doing business as

Practitioners 1

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.

• Venkat R Vangala, MD

  • Urology Physician
  • Apple Valley, CA
  • NPI 1376576066
  NPD (past)

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

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1629265715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18002 HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-242-5505",
            "fax_number": "760-242-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18002 HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-242-5505",
            "fax_number": "760-242-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENKAT REDDY VANGALA M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "VANGALA",
        "authorized_official_first_name": "NRIUPAMA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "760-242-5505"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "051183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01183F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hi-Desert Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Theresa Marie Vaughan, MS
• Brenda Margarita Vega
• Liliana Velasco
• Daisy Velez Murillo
• Monica Velez, DMD
• Venkat Reddy-Vangala M D Inc
• Ashley Vennes, RN
• Vishal Verma, PA-C
• Eduardita Eolani Vicencio, M.D.
• Victor C Moneke MD Inc

• Ambulatory Surgical Clinic/Center in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.