Individual provider Active NPI

Konanur Srinatha, MD

  • Interventional Cardiology Physician
  • Bellflower, CA
National Provider Identifier
1669486338
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A33995 Issued in CA
Practice address
9810 Park St
Bellflower, CA 90706-5936
Phone
(562) 804-3481
Fax
(562) 925-1437
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A33995 CA Primary

Addresses

Primary practice location

9810 Park St
Bellflower, CA 90706-5936

Mailing address

9810 Park St
Bellflower, CA 90706-5936
Phone (562) 804-3481

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
I20110920000373 CA Practitioner - Cardiovascular Disease (Cardiology) 9436344371 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
I S Gujral MDGroup PAC ID 9739495409, 2 clinicians

Practice addresses (Care Compare)

9810 Park St
Bellflower, CA 90706-5936
Phone (562) 804-3481

Hospital & facility affiliations

  • Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
  • Uci Health-Orange Hospital, Orange, CA, CCN 050348

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A33995CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
I S Gujral MD CurrentSince Dec 1, 2021 Accepting new patients
Pacific Private Practice Network Inc Past Accepting new patients

Locations

9810 Park St
Bellflower, CA 90706
Phone (310) 804-3481

24953 Paseo de Valencia
Ste 30A
Laguna Hills, CA 92653
Phone (949) 683-7818

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1669486338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 PARK ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065936",
            "telephone_number": "562-804-3481",
            "fax_number": "562-925-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 PARK ST",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907065936",
            "telephone_number": "562-804-3481",
            "fax_number": "562-925-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SRINATHA",
        "first_name": "KONANUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A33995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

Verify at the official NPI Registry.