Active NPI
Lavanya Vuddagiri, MD
- Diagnostic Radiology Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 12697
- Practice address
- 2020 Palomino LN
Suite 100
Las Vegas, NV 89106-4812 - Phone
- (702) 759-8600
- Fax
- (702) 384-7075
- NPI assigned
- Feb 27, 2007
- Last updated
- Aug 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A98945 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | 12697 | NV | Primary |
Addresses
Primary practice location
2020 Palomino LN
Suite 100
Las Vegas, NV 89106-4812
Mailing address
2020 Palomino LN
Suite 100
Las Vegas, NV 89106-4812
Phone (702) 759-8600
Other names 1
- Mrs. Lavanya Kalla
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Quality Dr
Vacaville, CA 95688-9494
Phone (707) 624-4000
1425 S Main St
Walnut Creek, CA 94596-5318
Phone (925) 295-4000
1600 Eureka Rd
Roseville, CA 95661-3027
Phone (916) 784-4000
1643 Eureka Rd
Roseville, CA 95661-3027
Phone (916) 973-5300
2025 Morse Ave
Sacramento, CA 95825-2115
Phone (916) 973-5000
2425 Geary Blvd
San Francisco, CA 94115-3358
Phone (415) 833-2200
2500 Merced St
San Leandro, CA 94577-4201
Phone (510) 454-1000
6600 Bruceville Rd
Sacramento, CA 95823-4671
Phone (916) 688-2000
700 Lawrence Expy
Santa Clara, CA 95051-5173
Phone (408) 851-1000
710 Lawrence Express Way
Santa Clara, CA 95051-5173
Phone (408) 851-1000
7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000
901 Nevin Ave
Richmond, CA 94801-3143
Phone (510) 307-1500
975 Sereno Dr
Vallejo, CA 94589-2441
Phone (707) 651-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A98945 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Permanente Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Permanente Medical Group, Inc | Current | Accepting new patients | |
| Permanente Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Ellis Bandt Birkin Kollins & Wong PLLC | Diagnostic Radiology | Past | Accepting new patients |
Locations
1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015
901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500
2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000
710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400
7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000
975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
Diagnostic Radiology
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1841373800
Diagnostic Radiology
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
-
dba Desert Radiology
- Diagnostic Radiology Physician
- Las Vegas, NV
- NPI 1578584678
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Kaiser Foundation Hospital - Roseville
- General Acute Care Hospital
- Roseville, CA
- NPI 1073811378
-
dba Kaiser Foundation Hospital South Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1528138088
-
dba Kaiser Foundation Hospital Sacramento
- General Acute Care Hospital
- Sacramento, CA
- NPI 1952476665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219622400000",
"number": "1659408896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 PALOMINO LN",
"address_2": "SUITE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064812",
"telephone_number": "702-759-8600",
"fax_number": "702-384-7075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 PALOMINO LN",
"address_2": "SUITE 100",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891064812",
"telephone_number": "702-759-8600",
"fax_number": "702-384-7075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VUDDAGIRI",
"first_name": "LAVANYA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2008-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A98945",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NV",
"license": "12697",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAVANYA",
"last_name": "KALLA",
"prefix": "MRS.",
"credential": "MBBS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.