Organization Active NPI

Usha Idnani MD

  • Internal Medicine Physician
  • Dana Point, CA
National Provider Identifier
1750570875
Registry record updated Oct 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54509 Issued in CA
Legal business name
USHA IDNANI MD
Practice address
34052 La Plaza St
Ste 105
Dana Point, CA 92629-0000
Phone
(949) 842-3854
Fax
(949) 388-3597
NPI assigned
Oct 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2008

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

Authorized official

Name
Dr. Usha Idnani, MD
Title
Physician/Owner
Phone
(949) 842-3854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A54509 CA Primary

Addresses

Primary practice location

34052 La Plaza St
Ste 105
Dana Point, CA 92629-0000

Mailing address

34052 La Plaza St
Ste 105
Dana Point, CA 92629-0000
Phone (949) 842-3854

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223424000000",
    "number": "1750570875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34052 LA PLAZA ST",
            "address_2": "STE 105",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926290000",
            "telephone_number": "949-842-3854",
            "fax_number": "949-388-3597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34052 LA PLAZA ST",
            "address_2": "STE 105",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926290000",
            "telephone_number": "949-842-3854",
            "fax_number": "949-388-3597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USHA IDNANI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-16",
        "last_updated": "2008-10-08",
        "status": "A",
        "authorized_official_last_name": "IDNANI",
        "authorized_official_first_name": "USHA",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "949-842-3854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; 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.