NPIMap

Individual provider Active NPI

Rao Lakshmana Atluri, MD MEDICO GENERALIST

  • Internal Medicine Physician
  • Baldwin Park, CA
National Provider Identifier
1699828848
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A29778 Issued in CA
Practice address
14051 E Ramona Pkwy
Baldwin Park, CA 91706
Phone
(626) 338-7338
Fax
(626) 338-0201
NPI assigned
Jan 19, 2007
Last updated
Jun 3, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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 A29778 CA Primary

Addresses

Primary practice location

14051 E Ramona Pkwy
Baldwin Park, CA 91706

Mailing address

14051 E Ramona Pkwy
Baldwin Park, CA 91706
Phone (626) 338-7338

Other identifiers 1

IdentifierTypeStateIssuer
0A297780MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29778CAMDEndodontist
A29778CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emanate Health Medical Center Past Accepting new patients
Medwin a Professional Corporation PastSince Jul 1, 2009 Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Baldwin Park Medical Clinic Inc PastSince Apr 26, 2020 Accepting new patients
Medwin Hospitalist and Healthcare Network Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1699828848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14051 E RAMONA PKWY",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "91706",
            "telephone_number": "626-338-7338",
            "fax_number": "626-338-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14051 E RAMONA PKWY",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "91706",
            "telephone_number": "626-338-7338",
            "fax_number": "626-338-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATLURI",
        "first_name": "RAO",
        "middle_name": "LAKSHMANA",
        "name_prefix": "Dr.",
        "credential": "MD MEDICO GENERALIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A29778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0A297780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.