Kundula Medical Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

KUNDULA MEDICAL CORPORATION

Practice address

29851 Aventura Ste M
Rancho Santa Margarita, CA 92688-2014

Phone

(949) 459-4820

Fax

(949) 669-7220

NPI assigned

Jun 13, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sridhar Kundula, MDNPI 1518301449

Title

President

Phone

(949) 302-1019

Specialties & licenses 1

Addresses

Other names 1

• Fitscription M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sridhar Kundula, M.D.

  • Internal Medicine Physician
  • Rancho Santa Margarita, CA
  • NPI 1518301449
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1750065322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29851 AVENTURA STE M",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882014",
            "telephone_number": "949-459-4820",
            "fax_number": "949-669-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29851 AVENTURA STE M",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882014",
            "telephone_number": "949-459-4820",
            "fax_number": "949-669-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUNDULA MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "KUNDULA",
        "authorized_official_first_name": "SRIDHAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-302-1019",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fitscription M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sabina Mary Kobylinski-Tognazzini, DO
• Liza Smith Koepke, O.D.
• Morgan Kollenda, OTR/L
• Thomas Laroy Kolt, PA-C
• Kontar Enterprises Inc
• Sridhar Kundula, M.D.
• Olita Lace, DPT
• Allyson Lynn Lake, COUNSELOR
• Jean Elizabeth Langmore, PH.D.
• Amir Larijani, D.D.S

• Internal Medicine Physician in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.