S.E. Moorthy, M.D., Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

S.E. MOORTHY, M.D., INC.

Practice address

1541 N China Lake Blvd
Ridgecrest, CA 93555-2606

Phone

(760) 446-3800

Fax

(760) 446-3711

NPI assigned

Apr 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Sinnadurai E Moorthy, MD, GI

Title

President

Phone

(661) 916-1144

Specialties & licenses 1

Addresses

Other names 1

• Sierra Gastroenterology Endo-Surgical Doing business as

Locations

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319500800000",
    "number": "1699066282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552606",
            "telephone_number": "760-446-3800",
            "fax_number": "760-446-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 N CHINA LAKE BLVD",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935552606",
            "telephone_number": "760-446-3800",
            "fax_number": "760-446-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S.E. MOORTHY, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-10-25",
        "status": "A",
        "authorized_official_last_name": "MOORTHY",
        "authorized_official_first_name": "SINNADURAI",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-916-1144",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, GI"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Gastroenterology Endo-Surgical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Rowland, MSN, RN, FNP-C, CEN
• Gwendolyn Rudulph, RN
• Rodney Ruggieri
• Camille Ivette Ruiz
• Courtney Kathleen Louise Rye
• Linda Crystal Salazar
• Daniel Thomas Sanchez
• Sanderson'S Health Services Inc.
• Jessica Santiago
• Lisa Anne Santos

• Specialist in Ridgecrest, CA
• Providers in Ridgecrest, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.