Individual provider Active NPI

Savita Saraswathi Nallapa, M.D

  • Internal Medicine Physician
  • Fairfield, CA
National Provider Identifier
1699784165
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301060369 Issued in MI
Practice address
103 Bodin Cir
VA Outpatient Clinic
Fairfield, CA 94535-1801
Phone
(707) 437-1818
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301060369 MI Primary

Addresses

Primary practice location

103 Bodin Cir
VA Outpatient Clinic
Fairfield, CA 94535-1801

Mailing address

6801 Leisure Town Rd
#253
Vacaville, CA 95688-9432
Phone (248) 342-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120502000042 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 5698724151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301060369MIMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1699784165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 LEISURE TOWN RD",
            "address_2": "#253",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956889432",
            "telephone_number": "248-342-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 BODIN CIR",
            "address_2": "VA OUTPATIENT CLINIC",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945351801",
            "telephone_number": "707-437-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NALLAPA",
        "first_name": "SAVITA",
        "middle_name": "SARASWATHI",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

Verify at the official NPI Registry.