Organization Active NPI

Thaila Ramanujam M D Inc

  • Specialist
  • Santa Cruz, CA
National Provider Identifier
1700056280
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A51041 Issued in CA
Legal business name
THAILA RAMANUJAM M D INC
Practice address
1505 Soquel Dr
Suite 9
Santa Cruz, CA 95065-1716
Phone
(831) 462-8960
NPI assigned
Mar 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Thaila Ramanujam, MDNPI 1801999206
Title
MD
Phone
(831) 462-8960

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A51041 CA Primary

Addresses

Primary practice location

1505 Soquel Dr
Suite 9
Santa Cruz, CA 95065-1716

Mailing address

1505 Soquel Dr
Suite 9
Santa Cruz, CA 95065-1716
Phone (831) 462-8960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090121000503 CA Part B Supplier - Clinic/Group Practice 1951465871 Receives reassigned benefits from 5 practitioners
Practice locations: Newport Beach, CA; San Diego, CA; Pasadena, CA; Poway, CA; San Jose, CA; Santa Cruz, CA; Temecula, CA; Torrance, CA…

National Provider Directory

National Provider Directory

Locations

3808 W Riverside Dr
Ste 500
Burbank, CA 91505
Phone (310) 800-1442

12865 Pointe del Mar Way
Ste 290
Del Mar, CA 92014

24422 Avenida de la Carlota
Ste 295
Laguna Hills, CA 92653
Phone (602) 688-2249

24422 Avenida de la Carlota
Ste 165
Laguna Hills, CA 92653
Phone (949) 770-6252

8741 Alden Dr
Ste A
Los Angeles, CA 90048
Phone (310) 652-2744

15055 Los Gatos Blvd
Ste 320
Los Gatos, CA 95032
Phone (408) 502-5000

880 Cass St
Ste 201
Monterey, CA 93940
Phone (831) 642-9700

485 South Dr
Ste D
Mountain View, CA 94040

369 San Miguel Dr
Ste 310
Newport Beach, CA 92660

65 N Madison Ave
Ste 303
Pasadena, CA 91101

5820 Stoneridge Mall Rd
Ste 103
Pleasanton, CA 94588

15835 Pomerado Rd
Ste 103
Poway, CA 92064

3760 Convoy St
Ste 113
San Diego, CA 92111

2664 Berryessa Rd
Ste 205
San Jose, CA 95132
Phone (408) 258-6669

1505 Soquel Dr
Ste 9
Santa Cruz, CA 95065
Phone (831) 462-8960

1505 Soquel Dr
Santa Cruz, CA 95065
Phone (831) 462-7700

3655 Lomita Blvd
Ste 303
Torrance, CA 90505
Phone (310) 791-0722

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FDJGBA

Practitioners & affiliated clinicians

Practitioners 28

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.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1700056280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 SOQUEL DR",
            "address_2": "SUITE 9",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651716",
            "telephone_number": "831-462-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 SOQUEL DR",
            "address_2": "SUITE 9",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950651716",
            "telephone_number": "831-462-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THAILA RAMANUJAM M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "RAMANUJAM",
        "authorized_official_first_name": "THAILA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "831-462-8960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A51041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.