Organization Active NPI

Ramesh B Pamula MD Inc

  • Specialist
  • Fresno, CA
National Provider Identifier
1700270469
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C55426 Issued in CA
Legal business name
RAMESH B PAMULA MD INC
Practice address
7085 N Chestnut Ave Ste 103
Fresno, CA 93720-0353
Phone
(559) 935-5491
Fax
(559) 935-5719
NPI assigned
Mar 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Gloria Supernaw
Title
Office Manager
Phone
(559) 935-5491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C55426 CA Primary

Addresses

Primary practice location

7085 N Chestnut Ave Ste 103
Fresno, CA 93720-0353

Mailing address

7085 N Chestnut Ave Ste 103
Fresno, CA 93720-0353
Phone (559) 935-5491

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150623000429 CA Part B Supplier - Clinic/Group Practice 3375854086 Receives reassigned benefits from 1 practitioner
Practice locations: Fresno, CA

National Provider Directory

National Provider Directory

Locations

7085 N Chestnut Ave
Ste 103
Fresno, CA 93720
Phone (559) 935-5491

Practitioners & affiliated clinicians

Practitioners 1

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": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1700270469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7085 N CHESTNUT AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200353",
            "telephone_number": "559-935-5491",
            "fax_number": "559-935-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7085 N CHESTNUT AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200353",
            "telephone_number": "559-935-5491",
            "fax_number": "559-935-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAMESH B PAMULA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "SUPERNAW",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-935-5491"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C55426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.