Organization Active NPI

Andrew Nangalama MD, PHD, PC

  • Internal Medicine Physician
  • Orangevale, CA
National Provider Identifier
1699289181
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A62253 Issued in CA
Legal business name
ANDREW NANGALAMA MD, PHD, PC
Practice address
9490 Madison Ave Ste 200
Orangevale, CA 95662-4983
Phone
(916) 621-2000
Fax
(916) 380-5841
NPI assigned
Nov 20, 2017
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Andrew W NangalamaNPI 1750481651
Title
Physician/President
Phone
(916) 549-3973

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A62253 CA Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X

Addresses

Primary practice location

9490 Madison Ave Ste 200
Orangevale, CA 95662-4983

Mailing address

9490 Madison Ave Ste 200
Orangevale, CA 95662-4983
Phone (916) 621-2000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180712001696 CA Part B Supplier - Clinic/Group Practice 9032465638 Receives reassigned benefits from 9 practitioners
Practice locations: Orangevale, CA

National Provider Directory

National Provider Directory

Locations

9490 Madison Ave
Ste 200
Orangevale, CA 95662
Phone (702) 496-1484

915 Highland Pointe Dr
Ste 240
Roseville, CA 95678

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1699289181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9490 MADISON AVE STE 200",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624983",
            "telephone_number": "916-621-2000",
            "fax_number": "916-380-5841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9490 MADISON AVE STE 200",
            "city": "ORANGEVALE",
            "state": "CA",
            "postal_code": "956624983",
            "telephone_number": "916-621-2000",
            "fax_number": "916-380-5841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW NANGALAMA MD, PHD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "NANGALAMA",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "916-549-3973"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62253",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orangevale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.