Organization Active NPI

Durga Medical Corporation

  • Rural Acute Care Hospital
  • Hemet, CA
National Provider Identifier
1669523759
Registry record updated Dec 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
A70985 Issued in CA
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

Updated by the provider on Dec 16, 2009

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

Authorized official

Name
Sanyasi R Ganta, MDNPI 1760547392
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
00A709850MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081110000760 CA Part B Supplier - Clinic/Group Practice 2264471382 Receives reassigned benefits from 2 practitioners
Practice locations: Hemet, CA; Sun City, CA

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.