Andrew Nangalama MD, PHD, PC

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

Organization subpart

No

Name

Andrew W NangalamaNPI 1750481651

Title

Physician/President

Phone

(916) 549-3973

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew W Nangalama, MD

  • Adult Medicine Physician
  • Orangevale, CA
  • NPI 1750481651

  CA

  Medicare reassignment Authorized official
• Marichu Garcia David

  • Family Nurse Practitioner
  • Lincoln, CA
  • NPI 1457964504

  CA

  Medicare reassignment NPD
• Desalegn Ejigu

  • Family Nurse Practitioner
  • Roseville, CA
  • NPI 1689150716

  CA

  Medicare reassignment NPD
• Sheryl Gerales

  • Family Nurse Practitioner
  • El Dorado Hills, CA
  • NPI 1538638523

  CA

  Medicare reassignment NPD
• Margaret Nsubuga Kayiira, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Santa Clarita, CA
  • NPI 1811274186

  CA

  Medicare reassignment NPD
• Trudie C Li, NP

  • Family Nurse Practitioner
  • Sacramento, CA
  • NPI 1215331913

  CA

  Medicare reassignment NPD
• Beverly Lynne Meier-Hanaway, NURSE PRACTITIONER

  • Adult Health Nurse Practitioner
  • Sacramento, CA
  • NPI 1366708901

  CA

  Medicare reassignment NPD
• Ron Billano Ordona, NP

  • Family Nurse Practitioner
  • Lincoln, CA
  • NPI 1184050171

  CA

  Medicare reassignment NPD
• Cynthia Jean Williams, FNP

  • Family Nurse Practitioner
  • Orangevale, CA
  • NPI 1831726694

  CA

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2024.

{
    "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": []
}

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• All providers in Orangevale, CA
• Internal Medicine Physician in California

• 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.