Organization Active NPI

Meena Subbarao, MD Inc.

  • Pediatrics Physician
  • Salinas, CA
National Provider Identifier
1720430861
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A56055 Issued in CA
Legal business name
MEENA SUBBARAO, MD INC.
Practice address
335 Katherine Ave
Suite 1
Salinas, CA 93901-3176
Phone
(831) 444-6263
Fax
(831) 536-1828
NPI assigned
Jul 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Authorized official

Name
Meena Subbarao, M.D.
Title
President
Phone
(831) 444-6263

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A56055 CA Primary

Addresses

Primary practice location

335 Katherine Ave
Suite 1
Salinas, CA 93901-3176

Mailing address

335 Katherine Ave Ste 1
Salinas, CA 93901-3176
Phone (831) 751-6222

Other identifiers 1

IdentifierTypeStateIssuer
1033105432MedicaidCA

National Provider Directory

National Provider Directory

Locations

335 Katherine Ave
Ste 1
Salinas, CA 93901
Phone (831) 751-6222

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468281600000",
    "number": "1720430861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 KATHERINE AVE STE 1",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013176",
            "telephone_number": "831-751-6222",
            "fax_number": "831-536-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 KATHERINE AVE",
            "address_2": "SUITE 1",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939013176",
            "telephone_number": "831-444-6263",
            "fax_number": "831-536-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEENA SUBBARAO, MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-12",
        "last_updated": "2016-07-12",
        "status": "A",
        "authorized_official_last_name": "SUBBARAO",
        "authorized_official_first_name": "MEENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "831-444-6263",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A56055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033105432",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2016; 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.