Active NPI
Shanthi Sudha Padala
- Pharmacist
- Santa Cruz, CA
National Provider Identifier
1710281316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH62884
- Practice address
- 2203 Mission St
Santa Cruz, CA 95060-5221 - Phone
- (831) 420-0785
- NPI assigned
- Dec 22, 2010
- Last updated
- Dec 22, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH62884 | CA | Primary |
Addresses
Primary practice location
2203 Mission St
Santa Cruz, CA 95060-5221
Mailing address
2203 Mission St
Santa Cruz, CA 95060-5221
Phone (831) 420-0785
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH62884 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Safeway Inc | Past | Accepting new patients | |
| Safeway Inc | Past | Accepting new patients |
Organizations & group practices 2
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": "1292976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292976000000",
"number": "1710281316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 MISSION ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950605221",
"telephone_number": "831-420-0785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 MISSION ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950605221",
"telephone_number": "831-420-0785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADALA",
"first_name": "SHANTHI",
"middle_name": "SUDHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-22",
"last_updated": "2010-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "RPH62884",
"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 Dec 22, 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.