Raman Sadasivaswamy Poola, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A376360 Issued in CA

Practice address

18523 Corwin Rd
Ste H
Apple Valley, CA 92307-2338

Phone

(760) 242-3000

Fax

(760) 242-1802

NPI assigned

Jul 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ramanpoola@rspmdi.allscriptsdirect.net

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.

• Choice Healthcare Associates, Inc.

  • Exclusive Provider Organization
  • Apple Valley, CA
  • NPI 1194964361
  Medicare reassignment NPD
• Choice Healthcare Associates Inc

  • Exclusive Provider Organization
  • Barstow, CA
  • NPI 1811038839
  NPD (past)
• Dignity Health

  • General Acute Care Hospital
  • Long Beach, CA
  • NPI 1194840421
  NPD (past)
• Meridian Urgent Care & Occupational Health Center a Professional Corp

  • Urgent Care Clinic/Center
  • Apple Valley, CA
  • NPI 1922289099
  NPD (past)
• St. Mary Medical Center

  • General Acute Care Hospital
  • Apple Valley, CA
  • NPI 1669456299
  NPD (past)
• Victor Valley Community Hospital

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1952311953
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277164800000",
    "number": "1669493862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "STE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "760-242-3000",
            "fax_number": "760-242-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "STE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "760-242-3000",
            "fax_number": "760-242-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLA",
        "first_name": "RAMAN",
        "middle_name": "SADASIVASWAMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-22",
        "last_updated": "2010-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A376360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Catherine Piritz-Buc
• Jessica Pittman
• PK Acupuncture Professional Inc
• Marilyn Marie Platt, CNM
• Mariah Polster-Enriquez
• April P Popejoy, MS, RD, CDE, BC-ADM
• Quenea Popoca
• Alfredo Manuel Portillo, AG-ACNP
• Jonathan Portillo, AGACNP-BC
• Shay Poteat, PTA

• Specialist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.