Organization Active NPI

Damodara Rajasekhar, MD, a Medical Corporation

  • Primary Care Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1639449960
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
DAMODARA RAJASEKHAR, MD, A MEDICAL CORPORATION
Practice address
18182 Outer Highway 18 Ste 103
Apple Valley, CA 92307-2200
Phone
(760) 242-3004
Fax
(760) 242-3009
NPI assigned
Jan 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Authorized official

Name
Dr. Damodara Rajasekhar, M.D.NPI 1326135328
Title
President
Phone
(760) 242-3004

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
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

18182 Outer Highway 18 Ste 103
Apple Valley, CA 92307-2200

Mailing address

18182 Outer Highway 18 Ste 103
Apple Valley, CA 92307-2200
Phone (760) 242-3004

National Provider Directory

National Provider Directory

Locations

18182 US Highway 18
Ste 103
Apple Valley, CA 92307
Phone (760) 242-3004

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325548800000",
    "number": "1639449960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18182 OUTER HIGHWAY 18 STE 103",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072200",
            "telephone_number": "760-242-3004",
            "fax_number": "760-242-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18182 OUTER HIGHWAY 18 STE 103",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072200",
            "telephone_number": "760-242-3004",
            "fax_number": "760-242-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAMODARA RAJASEKHAR, MD, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A",
        "authorized_official_last_name": "RAJASEKHAR",
        "authorized_official_first_name": "DAMODARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-3004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.