Active NPI
Durga Medical Corporation
- Rural Acute Care Hospital
- Hemet, CA
National Provider Identifier
1669523759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rural Acute Care Hospital
- License
- A70985
- Legal business name
- DURGA MEDICAL CORPORATION
- Practice address
- 850 E Latham Ave
Suite 201
Hemet, CA 92543 - Phone
- (951) 925-6657
- Fax
- (951) 929-0907
- NPI assigned
- Jan 15, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sanyasi R Ganta, MD
- Title
- President
- Phone
- (951) 925-6657
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A70985 | CA | |
| Rural Acute Care Hospital | 282NR1301X | A70985 | CA | Primary |
| Assisted Living Facility | 310400000X | A70985 | CA |
Addresses
Primary practice location
850 E Latham Ave
Suite 201
Hemet, CA 92543
Mailing address
850 E Latham Ave
Suite 201
Hemet, CA 92543
Phone (951) 925-6657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A709850 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
850 E Latham Ave
Ste 201
Hemet, CA 92543
Phone (951) 521-2800
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Hemet, CA
- NPI 1760547392
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1265874010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260921600000",
"number": "1669523759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 E LATHAM AVE",
"address_2": "SUITE 201",
"city": "HEMET",
"state": "CA",
"postal_code": "92543",
"telephone_number": "951-925-6657",
"fax_number": "951-929-0907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 E LATHAM AVE",
"address_2": "SUITE 201",
"city": "HEMET",
"state": "CA",
"postal_code": "92543",
"telephone_number": "951-925-6657",
"fax_number": "951-929-0907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURGA MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-15",
"last_updated": "2009-12-16",
"status": "A",
"authorized_official_last_name": "GANTA",
"authorized_official_first_name": "SANYASI",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-925-6657",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A70985",
"primary": false
},
{
"code": "282NR1301X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Rural",
"state": "CA",
"license": "A70985",
"primary": true
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "CA",
"license": "A70985",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A709850",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.