Active NPI
B. V. Chandramouli, M..D., Inc.
- Cardiovascular Disease Physician
- Redding, CA
National Provider Identifier
1679752075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 00A521990
- Legal business name
- B. V. CHANDRAMOULI, M..D., INC.
- Practice address
- 1555 East St
Suite 100
Redding, CA 96001-1153 - Phone
- (530) 244-4471
- Fax
- (530) 244-1407
- NPI assigned
- Nov 1, 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
- B V Chandramouli, M.D.
- Title
- President
- Phone
- (530) 244-4471
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 00A521990 | CA | Primary |
| Nuclear Cardiology Physician | 207UN0901X | 00A521990 | CA |
Addresses
Primary practice location
1555 East St
Suite 100
Redding, CA 96001-1153
Mailing address
1555 East St
Suite 100
Redding, CA 96001-1153
Phone (530) 244-4471
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 060070712 | Other | CA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Redding, CA
- NPI 1871607796
-
- Family Nurse Practitioner
- Redding, CA
- NPI 1104109750
-
- Family Nurse Practitioner
- Cottonwood, CA
- NPI 1740626472
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1342483200000",
"number": "1679752075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1555 EAST ST",
"address_2": "SUITE 100",
"city": "REDDING",
"state": "CA",
"postal_code": "960011153",
"telephone_number": "530-244-4471",
"fax_number": "530-244-1407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 EAST ST",
"address_2": "SUITE 100",
"city": "REDDING",
"state": "CA",
"postal_code": "960011153",
"telephone_number": "530-244-4471",
"fax_number": "530-244-1407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "B. V. CHANDRAMOULI, M..D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-01",
"last_updated": "2012-07-17",
"status": "A",
"authorized_official_last_name": "CHANDRAMOULI",
"authorized_official_first_name": "B",
"authorized_official_middle_name": "V",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "530-244-4471",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "00A521990",
"primary": true
},
{
"code": "207UN0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "CA",
"license": "00A521990",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "060070712",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2012; 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.